NPIMap

Organization Active NPI

Waikiki Health

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
National Provider Identifier
1952066474
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WAIKIKI HEALTH
Doing business as
Waikiki Health
Practice address
277 Ohua Ave
Honolulu, HI 96815-3695
Phone
(808) 922-4787
NPI assigned
Nov 1, 2021
Last updated
Dec 22, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
WAIKIKI HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Authorized official

Name
James T Maruyama
Title
Compliance Officer
Phone
(808) 537-8418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

277 Ohua Ave
Honolulu, HI 96815-3695

Mailing address

277 Ohua Ave
Honolulu, HI 96815-3695
Phone (808) 922-4787

Other identifiers 1

IdentifierTypeStateIssuer
1FDUF5GN5LED42948OtherHIVEHICLE REGISTRATION NUMBER

Other names 2

  • Waikiki Health Doing business as
  • Mobile Medical Unit 2 Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://athenanet.athenahealth.com/15051/77/login.esp Direct

National Provider Directory

National Provider Directory
Tax ID family
Waikiki Health8 organizations share this tax ID, including this one
Part of
Waikiki Health

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1952066474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 OHUA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968153695",
            "telephone_number": "808-922-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 OHUA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968153695",
            "telephone_number": "808-922-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAIKIKI HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAIKIKI HEALTH",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "MARUYAMA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "808-537-8418"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VEHICLE REGISTRATION NUMBER",
            "identifier": "1FDUF5GN5LED42948",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://athenanet.athenahealth.com/15051/77/login.esp",
            "affiliation": "N",
            "endpointDescription": "AthenaHealth",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mobile Medical Unit",
            "address_1": "277 Ohua Ave",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968153695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Waikiki Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mobile Medical Unit 2",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 22, 2021; 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.