Mililani Gastro, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MILILANI GASTRO, LLC

Practice address

95-390 Kuahelani Ave Unit 4a-1
Mililani, HI 96789-1192

Phone

(808) 722-4028

Fax

(888) 220-7388

NPI assigned

Jun 17, 2025

Organization subpart

Yes

Parent organization

MILILANI GASTRO, LLCAs reported in NPPES

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

Authorized official

Name

Maryson Cabreros Cabudoy, RN, BSN

Title

Director

Phone

(808) 272-1889

Specialties & licenses 1

Addresses

Other names 1

• Mililani Endoscopy Center Doing business as

Tax ID family

Mililani Gastro LLC2 organizations share this tax ID, including this one

Part of

Mililani Gastro LLC

Other organizations with this tax ID 1

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

• Mililani Gastro, LLC

  • Gastroenterology Physician
  • Pearl City, HI
  • NPI 1649077447
  NPD tax ID

Locations

Practitioners 1

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

• Aaron Justin Small, M.D.

  • Gastroenterology Physician
  • Aiea, HI
  • NPI 1407015399
  NPD

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1962398529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-390 KUAHELANI AVE UNIT 4A-1",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891192",
            "telephone_number": "808-722-4028",
            "fax_number": "888-220-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-390 KUAHELANI AVE UNIT 4A-1",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891192",
            "telephone_number": "808-722-4028",
            "fax_number": "888-220-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILILANI GASTRO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILILANI GASTRO, LLC",
        "enumeration_date": "2025-06-17",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "CABUDOY",
        "authorized_official_first_name": "MARYSON",
        "authorized_official_middle_name": "CABREROS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "808-272-1889",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mililani Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Orville Milcetich-Tano, LMFT
• Mililani Back Care Center, Inc.
• Mililani Dental Associates, LLC
• Mililani Dental Inc.
• Mililani Dentists LLC
• Mililani Physical Therapy LLC
• Hailey Miller
• Melannie Miller, APRN
• Minerva Pasquin Miller
• Dallas Millwood

• Ambulatory Surgical Clinic/Center in Mililani, HI
• Providers in Mililani, HI by specialty
• Ambulatory Surgical Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.