Mililani Gastro, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

MILILANI GASTRO, LLC

Practice address

1245 Kuala St Ste 102a
Pearl City, HI 96782-3900

Phone

(808) 272-1889

Fax

(888) 220-7388

NPI assigned

Feb 27, 2025

Organization subpart

Yes

Parent organization

MILILANI GASTROAs reported in NPPES

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

Authorized official

Name

Maryson Cabreros Cabudoy, RN, BSN

Title

Manager

Phone

(808) 272-1889

Specialties & licenses 1

Addresses

Other names 2

• Advanced Gastroenterologists of Oahu Doing business as
• Mililani Gastro Former legal business name

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Tax ID family

Mililani Gastro LLC2 organizations share this tax ID, including this one

Part of

Mililani Gastro LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mililani Gastro, LLC

  • Ambulatory Surgical Clinic/Center
  • Mililani, HI
  • NPI 1962398529
  NPD tax ID

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Aaron J Small MD LLC

  • Gastroenterology Physician
  • Aiea, HI
  • NPI 1912440090

  Member Of

  NPD member
• California Gastroenterology Consultants, Inc

  • Gastroenterology Physician
  • Aiea, HI
  • NPI 1073357679

  Member Of

  NPD member
• Manibusan Services Corporation

  • Gastroenterology Physician
  • Honolulu, HI
  • NPI 1770213233

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allan James Ablaza Saoit, APRN

  • Nurse Practitioner
  • Pearl City, HI
  • NPI 1164086336
  Medicare reassignment
• Aaron Justin Small, M.D.

  • Gastroenterology Physician
  • Aiea, HI
  • NPI 1407015399
  NPD

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1649077447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-390 KUAHELANI AVE UNIT 4A-1",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891192",
            "telephone_number": "808-272-1889",
            "fax_number": "888-220-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 KUALA ST STE 102A",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823900",
            "telephone_number": "808-272-1889",
            "fax_number": "888-220-7388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94-837 Waipahu St",
            "address_purpose": "LOCATION",
            "city": "Waipahu",
            "state": "HI",
            "postal_code": "967973320",
            "country_code": "US",
            "telephone_number": "808-272-1889",
            "fax_number": "888-220-7388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MILILANI GASTRO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILILANI GASTRO",
        "enumeration_date": "2025-02-27",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "CABUDOY",
        "authorized_official_first_name": "MARYSON",
        "authorized_official_middle_name": "CABREROS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-272-1889",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Gastroenterologists of Oahu",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mililani Gastro",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mililani Gastro",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Menor Foster Home
• Mental Health Kokua
• Mental Health Kokua
• Gay Mikasa
• Christina Mikolajczyk, RN
• John Blake Miller
• Jonathan Mina
• Carol E Minn, M.D.
• Shalini Mishra, M.D.
• Steven Miyamoto

• Gastroenterology Physician in Pearl City, HI
• Providers in Pearl City, HI by specialty
• Gastroenterology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.