NPIMap

Organization Active NPI

Integrated Health Hawaii, LLC

  • Clinical Social Worker
  • Honolulu, HI
National Provider Identifier
1699484089
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INTEGRATED HEALTH HAWAII, LLC
Practice address
1357 Kapiolani Blvd Ste 1430
Honolulu, HI 96814-4509
Phone
(808) 657-6473
Fax
(808) 930-9874
NPI assigned
Nov 15, 2022
Last updated
Mar 28, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PMAG CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Gregg Shimomura, MDNPI 1538280367
Title
Medical Director
Phone
(808) 942-1852

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

1357 Kapiolani Blvd Ste 1430
Honolulu, HI 96814-4509

Mailing address

1357 Kapiolani Blvd Ste 1430
Honolulu, HI 96814-4509
Phone (808) 657-6473

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Elation Health Information Exchange (HIE)
Other URL PearSuite Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1357 Kapiolani Blvd
Ste 1430
Honolulu, HI 96814
Phone (808) 942-1852

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": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1699484089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 KAPIOLANI BLVD STE 1430",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144509",
            "telephone_number": "808-657-6473",
            "fax_number": "808-930-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 KAPIOLANI BLVD STE 1430",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144509",
            "telephone_number": "808-657-6473",
            "fax_number": "808-930-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH HAWAII, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PMAG CARE, INC.",
        "enumeration_date": "2022-11-15",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "SHIMOMURA",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "808-942-1852",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Elation",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient Medical records, progress notes, etc.",
            "address_1": "1357 Kapiolani Blvd Ste 1410",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968144535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PearSuite",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient medical records, Progress notes, etc.",
            "address_1": "1357 Kapiolani Blvd Ste 1430",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968144509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.