Organization Active NPI

Mahinaona Pediatrics LLC

  • Pediatrics Physician
  • Honolulu, HI
National Provider Identifier
1255866505
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
14942 Issued in HI
Legal business name
MAHINAONA PEDIATRICS LLC
Practice address
3465 Waialae Ave
Suite 270
Honolulu, HI 96816-2660
Phone
(808) 737-4675
Fax
(808) 737-4978
NPI assigned
Apr 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lisa Kahikina, M.D.
Title
Physician Owner
Phone
(808) 393-4959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 14942 HI Primary

Addresses

Primary practice location

3465 Waialae Ave
Suite 270
Honolulu, HI 96816-2660

Mailing address

3465 Waialae Ave
Suite 270
Honolulu, HI 96816-2660
Phone (808) 737-4675

Other identifiers 1

IdentifierTypeStateIssuer
1356536213OtherHIINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1255866505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 WAIALAE AVE",
            "address_2": "SUITE 270",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162660",
            "telephone_number": "808-737-4675",
            "fax_number": "808-737-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 WAIALAE AVE",
            "address_2": "SUITE 270",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162660",
            "telephone_number": "808-737-4675",
            "fax_number": "808-737-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHINAONA PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "KAHIKINA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "808-393-4959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "14942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1356536213",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.