Island Mobile Health Care

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ISLAND MOBILE HEALTH CARE

Practice address

75-127 Lunapule Rd Ste 7E
Kailua Kona, HI 96740-2119

Phone

(808) 740-0676

NPI assigned

Apr 14, 2025

Last updated

Apr 14, 2025By 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

Miss Kellie Acosta, PA-CNPI 1053777342

Title

Owner

Phone

(808) 640-2660

Specialties & licenses 2

Addresses

Locations

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.

• Kellie Acosta, PA-C

  • Medical Physician Assistant
  • Kailua Kona, HI
  • NPI 1053777342
  NPD Authorized official

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1891580361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-127 LUNAPULE RD STE 7E",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402119",
            "telephone_number": "808-740-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-127 LUNAPULE RD STE 7E",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402119",
            "telephone_number": "808-740-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND MOBILE HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-640-2660",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Island Cardiovascular & Vein Institute LLC
• Island Counseling Affiliates, LLC
• Island Dermatology LLC
• Island Eye Care, Inc
• Island Heart Care LLC
• Vasyl Issel
• Ivan E. Toguchi DDS
• Greta M Ivers, M.D.
• Karl Arn Jacobson, CRNA
• Chasen Jakob

• Clinic/Center in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.