Organization Active NPI

Haleiwa Family Clinic, Inc.

  • Family Medicine Physician
  • Haleiwa, HI
National Provider Identifier
1952445009
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HALEIWA FAMILY CLINIC, INC.
Practice address
66-125 Kamehameha Hwy
Haleiwa, HI 96712-1420
Phone
(808) 637-5087
Fax
(808) 637-4765
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Randall Suzuka, M.D.
Title
President
Phone
(808) 637-5087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X HI Primary

Addresses

Primary practice location

66-125 Kamehameha Hwy
Haleiwa, HI 96712-1420

Mailing address

66-125 Kamehameha Hwy
Haleiwa, HI 96712-1420
Phone (808) 637-5087

Other names 1

  • Haleiwa Family Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

95-1249 Meheula Pkwy
Ste 129
Mililani, HI 96789
Phone (808) 623-2435

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952445009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66-125 KAMEHAMEHA HWY",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967121420",
            "telephone_number": "808-637-5087",
            "fax_number": "808-637-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66-125 KAMEHAMEHA HWY",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967121420",
            "telephone_number": "808-637-5087",
            "fax_number": "808-637-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALEIWA FAMILY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUZUKA",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-637-5087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haleiwa Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haleiwa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.