Kapaa Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

15518 Issued in HI

Legal business name

KAPAA PEDIATRICS LLC

Practice address

4-1461 Kuhio Hwy
Kapaa, HI 96746-1715

Phone

(808) 220-7062

Fax

(808) 822-0938

NPI assigned

Feb 4, 2011

Last updated

Feb 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jesse Tzu Tan Lam, M.D.NPI 1497955306

Title

Manager

Phone

(808) 220-7062

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Jesse Tzu Tan Lam, M.D.

  • Pediatrics Physician
  • Kapa'a, HI
  • NPI 1497955306
  Authorized official Same address or phone

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1740586957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4-1461 KUHIO HWY",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461715",
            "telephone_number": "808-220-7062",
            "fax_number": "808-822-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4-1461 KUHIO HWY",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461715",
            "telephone_number": "808-220-7062",
            "fax_number": "808-822-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAPAA PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "TZU TAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-220-7062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "15126",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "15518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Johnson, LCSW
• Jolyn a Rose, L.Ac, LLC
• David S Jordan
• Kaitlyn Issler (Wailua Wellness)
• Ashok Kannan, DO
• Kapaa Physical Therapy Inc
• Kauai Family Dentistry, Inc.
• Kauai Health & Healing Partners LLC
• Kauai Holistic Medicine Inc.
• Kauai Home Care LLC

• Pediatrics Physician in Kapa'a, HI
• Providers in Kapa'a, HI by specialty
• Pediatrics Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.