Organization Active NPI

Alohi Clinic, LLC

  • Primary Care Clinic/Center
  • Waipahu, HI
National Provider Identifier
1407540149
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ALOHI CLINIC, LLC
Practice address
94-229 Waipahu Depot St Ste 308
Waipahu, HI 96797-3033
Phone
(808) 582-8881
NPI assigned
Jun 6, 2023
Last updated
Aug 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Authorized official

Name
Paul Coelho, DNP, AGCNS, APRN-RXNPI 1700396124
Title
Owner
Phone
(808) 582-8881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

94-229 Waipahu Depot St Ste 308
Waipahu, HI 96797-3033

Mailing address

60 N Beretania St Apt 2003
Honolulu, HI 96817-4759
Phone (808) 780-8147

Other identifiers 1

IdentifierTypeStateIssuer
006216MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231010003789 HI Part B Supplier - Clinic/Group Practice 6608221759 Receives reassigned benefits from 1 practitioner
Practice locations: Waipahu, HI

National Provider Directory

National Provider Directory

Locations

94-730 Farrington Hwy
Waipahu, HI 96797
Phone (808) 582-8881

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1407540149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 N BERETANIA ST APT 2003",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174759",
            "telephone_number": "808-780-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-229 WAIPAHU DEPOT ST STE 308",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973033",
            "telephone_number": "808-582-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALOHI CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "COELHO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-582-8881",
        "authorized_official_credential": "DNP, AGCNS, APRN-RX"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006216",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.