Active NPI
Transformation Health Network
Doing business as Aloha Kona Primary Care
- Urgent Care Clinic/Center
- Kailua Kona, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- TRANSFORMATION HEALTH NETWORK
- Doing business as
- Aloha Kona Primary Care
- Practice address
- 75-5995 Kuakini Hwy Ste 513
Kailua Kona, HI 96740-2124 - Phone
- (808) 365-2297
- Fax
- (808) 339-3702
- NPI assigned
- Apr 28, 2022
- Last updated
- Jul 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elisha De Carvalho
- Title
- Group Practice Manager
- Phone
- (808) 746-5851
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NU | Primary |
Addresses
Primary practice location
75-5995 Kuakini Hwy Ste 513
Kailua Kona, HI 96740-2124
Mailing address
75-5995 Kuakini Hwy Ste 513
Kailua Kona, HI 96740-2124
Phone (808) 746-5851
Other names 1
- Aloha Kona Primary Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150626000363 | HI | Part B Supplier - Clinic/Group Practice | 6103137591 |
Receives reassigned benefits from 6 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kailua Kona, HI |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Aloha Kona Urgent Care
- Urgent Care Clinic/Center
- Kailua Kona, HI
- NPI 1144621285
O20150626000363
National Provider Directory
National Provider DirectoryLocations
75-5995 Kuakini Hwy
Ste 511
Kailua Kona, HI 96740
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Counselor
- Kailua Kona, HI
- NPI 1023243136
-
- Physician Assistant
- Kailua Kona, HI
- NPI 1346592318
-
- Internal Medicine Physician
- Honolulu, HI
- NPI 1194792333
-
- Marriage & Family Therapist
- Fremont, CA
- NPI 1508055005
-
- Family Medicine Physician
- Huntsville, AL
- NPI 1427211549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752537600000",
"number": "1700521499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75-5995 KUAKINI HWY STE 513",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967402124",
"telephone_number": "808-746-5851",
"fax_number": "555-922-0598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-5995 KUAKINI HWY STE 513",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967402124",
"telephone_number": "808-365-2297",
"fax_number": "808-339-3702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANSFORMATION HEALTH NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-28",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A",
"authorized_official_last_name": "DE CARVALHO",
"authorized_official_first_name": "ELISHA",
"authorized_official_title_or_position": "GROUP PRACTICE MANAGER",
"authorized_official_telephone_number": "808-746-5851"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aloha Kona Primary Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Aloha Kona Primary Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.