Organization Active NPI

Urgent Care Clinic of Waikiki, LLC

  • Urgent Care Clinic/Center
  • Honolulu, HI
National Provider Identifier
1972718013
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
MD-10758 Issued in HI
Legal business name
URGENT CARE CLINIC OF WAIKIKI, LLC
Practice address
2155 Kalakaua Ave Ste 308
Honolulu, HI 96815-2354
Phone
(808) 924-3399
Fax
(808) 923-7606
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Dr. Yasushi John Hori, M.D.NPI 1255437232
Title
Owner
Phone
(808) 924-3399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X MD-10758 HI Primary

Addresses

Primary practice location

2155 Kalakaua Ave Ste 308
Honolulu, HI 96815-2354

Mailing address

2155 Kalakaua Ave Ste 308
Honolulu, HI 96815-2354
Phone (808) 924-3399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040707000964 HI Part B Supplier - Clinic/Group Practice 7618954686 Receives reassigned benefits from 4 practitioners
Practice locations: Honolulu, HI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D0964085Urgent Care Clinic of Waikiki2155 Kalakaua Ave, #308, Honolulu, HI 96815Certificate of waiverAug 17, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1972718013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 KALAKAUA AVE STE 308",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968152354",
            "telephone_number": "808-924-3399",
            "fax_number": "808-923-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 KALAKAUA AVE STE 308",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968152354",
            "telephone_number": "808-924-3399",
            "fax_number": "808-923-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE CLINIC OF WAIKIKI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "HORI",
        "authorized_official_first_name": "YASUSHI",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-924-3399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "HI",
            "license": "MD-10758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.