NPIMap

Organization Active NPI

Kaiser Foundation Health Plan Inc

Doing business as Kaiser Foundation Health Plan

  • Health Maintenance Organization
  • Honolulu, HI
National Provider Identifier
1407862030
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
KAISER FOUNDATION HEALTH PLAN INC
Doing business as
Kaiser Foundation Health Plan
Practice address
711 Kapiolani Blvd
Honolulu, HI 96813-5237
Phone
(808) 432-5312
Fax
(808) 432-5239
NPI assigned
Aug 1, 2006
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
James G. Adams Jr.
Title
Executive Director, Finance Leader
Phone
(808) 432-5497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

711 Kapiolani Blvd
Honolulu, HI 96813-5237

Mailing address

711 Kapiolani Blvd
Billing Department
Honolulu, HI 96813-5237
Phone (808) 432-5340

Other names 1

  • Kaiser Foundation Health Plan Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031119000948 HI Part B Supplier - Clinic/Group Practice 1850205360 Receives reassigned benefits from 208 practitioners
31 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20170120002427 HI Part A Provider - Rural Health Clinic 1850205360 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kahuku, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407862030. Details of each certification follow.

Rural health clinic certification: CCN 123806

Legal name
KAISER FOUNDATION HEALTH PLAN INC
Doing business as
KAHUKU CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 26, 2017
Last certification
Oct 26, 2017
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Mar 15, 1955 in CA
Enrollment address
56-565 Kamehameha Hwy
Kahuku, HI 96731-2202

Other NPIs on the same Medicare enrollment 32

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 32

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David J Barger Individual Corporate DirectorBoard Member May 1, 2016
Margaret E Porfido Individual Corporate DirectorBoard Member Nov 1, 2011
Kaiser Foundation Health Plan Inc Organization, Oakland, CA Corporation, Non-profit Operational/Managerial Control Jan 1, 2017 100%
Jenny Ming Individual Corporate DirectorBoard Member Jul 6, 2021
Richard P Shannon Individual Corporate DirectorBoard Member Jul 1, 2014
Regina M Benjamin Individual Corporate DirectorBoard Member Jun 1, 2015
Michelle J Gaskill-Hames Individual Corporate OfficerRegional President, Hawaii Sep 18, 2023
Judith a Johansen Individual Corporate DirectorBoard Member Apr 1, 2006
Douglas a Lemieux Individual W-2 Managing EmployeeSenior Director Jul 8, 2018
David F Hoffmeister Individual Corporate DirectorBoard Member Nov 1, 2014
Arnold Eugene Washington Individual Corporate DirectorBoard Member Jan 4, 2016
Ines Gaeta Individual Operational/Managerial ControlController & Executive Director Apr 4, 2022
James Adams Individual Corporate OfficerExec Dir Finance, Hawaii Market Sep 19, 2022
W-2 Managing EmployeeExec Dir Finance, Hawaii Market Sep 19, 2022
Jeffrey E Epstein Individual Corporate DirectorBoard Member Apr 1, 2013
Ramon F Baez Individual Corporate DirectorBoard Member Jun 4, 2016
Gregory a Adams Individual Corporate DirectorBoard Member Feb 25, 2020 100%
Matthew T Ryan Individual Corporate DirectorBoard Member Jan 1, 2020
Leslie S Heisz Individual Corporate DirectorBoard Member Jan 1, 2015

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 33

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 33

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1407862030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 KAPIOLANI BLVD",
            "address_2": "BILLING DEPARTMENT",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135237",
            "telephone_number": "808-432-5340",
            "fax_number": "808-432-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 KAPIOLANI BLVD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135237",
            "telephone_number": "808-432-5312",
            "fax_number": "808-432-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HEALTH PLAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-09-02",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, FINANCE LEADER",
        "authorized_official_telephone_number": "808-432-5497",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaiser Foundation Health Plan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.