NPIMap

Organization Active NPI

Waianae District Comprehensive Health and Hospital Board, Inc

Doing business as The Comp at Tamura Super Market

  • Federally Qualified Health Center (FQHC)
  • Waianae, HI
National Provider Identifier
1649859588
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INC
Doing business as
The Comp at Tamura Super Market
Practice address
86-032 Farrington Hwy Ste 101
Waianae, HI 96792-3099
Phone
(808) 697-3360
NPI assigned
Apr 7, 2021
Last updated
Nov 19, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Cindy Yee
Title
Chief Financial Officer
Phone
(808) 697-3128

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Non-Surgical Family Planning Clinic/Center 261QF0050X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Multi-Specialty Clinic/Center 261QM1300X NU
Primary Care Clinic/Center 261QP2300X NU

Addresses

Primary practice location

86-032 Farrington Hwy Ste 101
Waianae, HI 96792-3099

Mailing address

86-260 Farrington Hwy
Waianae, HI 96792-3128
Phone (808) 697-3493

Other names 1

  • The Comp at Tamura Super Market Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040105000833 HI Part B Supplier - Clinic/Group Practice 9931008349 Receives reassigned benefits from 250 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Waipahu, HI; Waianae, HI; Kapolei, HI; Ewa Beach, HI
O20220124000687 HI Part A Provider - Federally Qualified Health Center (FQHC) 9931008349 Practice locations: Waianae, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649859588. Details of each certification follow.

Federally qualified health center certification: CCN 121878

Legal name
WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD INCORPORATED
Doing business as
THE COMP AT TAMURA SUPER MARKET
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 3, 2022
Last certification
Feb 3, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 6, 1969 in HI
Enrollment address
86-032 Farrington Hwy
Ste 101
Waianae, HI 96792-3099

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

Other NPIs on the same Medicare enrollment 17

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

View all 17

National Provider Directory

National Provider Directory
Tax ID family
Waianae Coast Comprehensive39 organizations share this tax ID, including this one
Part of
Waianae Coast Comprehensive

Other organizations with this tax ID 38

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

View all 38

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Joyce M O'Brien Individual Corporate OfficerExecutive Vice President May 1, 1995
W-2 Managing EmployeeExecutive Vice President May 1, 1995
Richard P Bettini Individual Corporate OfficerPresident & Ceo Feb 9, 1979
W-2 Managing EmployeePresident & Ceo Feb 9, 1979
James Z Chen Individual Corporate OfficerChief Financial Officer Mar 23, 1998
W-2 Managing EmployeeChief Financial Officer Mar 23, 1998
Waianae District Comprehensive Health and Hospital Board Incorporated Organization, Waianae, HI Corporation, Non-profit Operational/Managerial Control May 6, 1969

Owners & managing parties with NPI records 16

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

View all 16

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Makaha HealthWaianae, HI, CCN 121021 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1972

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 11

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": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1649859588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86-260 FARRINGTON HWY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923128",
            "telephone_number": "808-697-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86-032 FARRINGTON HWY STE 101",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923099",
            "telephone_number": "808-697-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "YEE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "808-697-3128"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Comp at Tamura Super Market",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Comp at Tamura Super Market",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waianae, HI

Sources for this page

Verify at the official NPI Registry.