Organization Active NPI

Transformation Health Network

Doing business as Aloha Kona Primary Care

  • Urgent Care Clinic/Center
  • Kailua Kona, HI
National Provider Identifier
1700521499
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.