Organization Active NPI

Ohana Pacific Medical LLC

  • Family Medicine Physician
  • Honolulu, HI
National Provider Identifier
1427514645
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OHANA PACIFIC MEDICAL LLC
Practice address
428 Kawaihae St Apt 148
Honolulu, HI 96825-1291
Phone
(808) 930-9858
Fax
(808) 930-9859
NPI assigned
Feb 12, 2019
Last updated
Aug 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Authorized official

Name
Steven T ItoNPI 1063819191
Title
Owner
Phone
(808) 927-0119

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

428 Kawaihae St Apt 148
Honolulu, HI 96825-1291

Mailing address

428 Kawaihae St Apt 148
Honolulu, HI 96825-1291
Phone (808) 930-9858

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190422000440 HI Part B Supplier - Clinic/Group Practice 0244572378 Receives reassigned benefits from 9 practitioners
Practice locations: Kailua, HI; Honolulu, HI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D2200826Ohana Pacific Medical, LLC428 Kawaihae St #148, Honolulu, HI 96825Certificate of waiverNov 16, 2026

National Provider Directory

National Provider Directory

Locations

1150 S King St
Ste 1007
Honolulu, HI 96814
Phone (808) 930-9858

1302 Young St
Honolulu, HI 96814
Phone (808) 930-9858

328 Uluniu St
Ste 103
Kailua, HI 96734
Phone (808) 263-3020

94-1221 Ka Uka Blvd
Unit 108166
Waipahu, HI 96797
Phone (808) 930-9858

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19972/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 10

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": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1427514645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 KAWAIHAE ST APT 148",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251291",
            "telephone_number": "808-930-9858",
            "fax_number": "808-930-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 KAWAIHAE ST APT 148",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251291",
            "telephone_number": "808-930-9858",
            "fax_number": "808-930-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA PACIFIC MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "ITO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-927-0119"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.