NPIMap

Organization Active NPI

Kauai Medical Clinic

  • Multi-Specialty Clinic/Center
  • Lihue, HI
National Provider Identifier
1376596643
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
KAUAI MEDICAL CLINIC
Practice address
3-3420 Kuhio Hwy
Suite B
Lihue, HI 96766-1098
Phone
(808) 245-1500
Fax
(808) 246-1625
NPI assigned
May 18, 2006
Last updated
Jul 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Mr. David Okabe
Title
Cfo, Sr. Vice President
Phone
(808) 535-7202

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

3-3420 Kuhio Hwy
Suite B
Lihue, HI 96766-1098

Mailing address

1946 Young St
Suite 320
Honolulu, HI 96826-2169
Phone (808) 973-7320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, OR, CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031111000540 HI Part B Supplier - Clinic/Group Practice 5092628479 Receives reassigned benefits from 312 practitioners
Practice locations: Eleele, HI; Waimea, HI; Lihue, HI; Koloa, HI; Kapaa, HI
O20260507001365 OR Part B Supplier - Clinic/Group Practice 5092628479 Receives reassigned benefits from 1 practitioner
Practice locations: Sherwood, OR
O20260616001060 CA Part B Supplier - Clinic/Group Practice 5092628479 Receives reassigned benefits from 1 practitioner
Practice locations: San Bruno, CA

National Provider Directory

National Provider Directory

Locations

46-001 Kamehameha Hwy
Ste 110
Kaneohe, HI 96744

4-1105 Kuhio Hwy
Kapaa, HI 96746
Phone (808) 822-3431

4-831 Kuhio Hwy
Ste 332
Kapaa, HI 96746

4-831 Kuhio Hwy
Ste 372
Kapaa, HI 96746

4-831 Kuhio Hwy
Ste 438
Kapaa, HI 96746
Phone (541) 613-5646

3-3420B Kuhio Hwy
Lihue, HI 96766
Phone (808) 245-1500

4484 Pahee St
Lihue, HI 96766
Phone (808) 245-1532

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 322

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 322

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1376596643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 YOUNG ST",
            "address_2": "SUITE 320",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968262169",
            "telephone_number": "808-973-7320",
            "fax_number": "808-973-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3-3420 KUHIO HWY",
            "address_2": "SUITE B",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661098",
            "telephone_number": "808-245-1500",
            "fax_number": "808-246-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUAI MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "OKABE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO, SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "808-535-7202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.