Organization Active NPI

Kalihi Kai Urgent Care LLC

  • Urgent Care Clinic/Center
  • Honolulu, HI
National Provider Identifier
1639561343
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
KALIHI KAI URGENT CARE LLC
Practice address
2070 N King St
Honolulu, HI 96819-3481
Phone
(808) 779-3655
NPI assigned
Mar 4, 2015
Last updated
Mar 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Rida T. R. Cabanilla, RN
Title
President
Phone
(808) 779-3655

Specialties & licenses 1

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

Addresses

Primary practice location

2070 N King St
Honolulu, HI 96819-3481

Mailing address

94-216 Farrington Hwy # B2-106
Suite 313
Waipahu, HI 96797-1922
Phone (808) 779-3655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150608002547 HI Part B Supplier - Clinic/Group Practice 5890016489 Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

2070 N King St
Honolulu, HI 96819
Phone (808) 779-3655

2070 N King St
Ste A1
Honolulu, HI 96819
Phone (808) 779-3655

94-216 Farrington Hwy
Ste 313
Waipahu, HI 96797
Phone (808) 678-1422

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1639561343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-216 FARRINGTON HWY # B2-106",
            "address_2": "SUITE 313",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971922",
            "telephone_number": "808-779-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 N KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193481",
            "telephone_number": "808-779-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALIHI KAI URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "CABANILLA",
        "authorized_official_first_name": "RIDA",
        "authorized_official_middle_name": "T. R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-779-3655",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "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 Mar 4, 2015; 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.