| NPI | 1104946763 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-03-29 |
| Last Updated | 2020-08-22 |
| Authorized Official | Jason Ninomiya proprietor Phone: 8086937300 |
| Mailing Address | Kapolei Building, 1001 Kamokila Blvd, Suite 193 Kapolei, HI 96707-2014 United States Phone: (808) 693-7300 | Fax: (808) 693-7301 📍 View Map |
| Primary Practice Address | Kapolei Building, 1001 Kamokila Blvd, Suite 193 Kapolei, HI 96707-2014 United States Phone: (808) 693-7300 | Fax: (808) 693-7301 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | HI | 00C0253363 | HMSA |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208000000X – Pediatrics | HI | MD13419 |
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About NPI 1104946763
Kapolei Pediatrics Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1104946763. The primary specialty listed is Pediatrics. The organization is located in Kapolei, HI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-03-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104946763?
NPI 1104946763 belongs to Kapolei Pediatrics Llc, a Pediatrics in Kapolei, HI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104946763 active?
The current status of NPI 1104946763 in the NPPES registry is Active. The record was last updated on 2020-08-22.
What specialty is NPI 1104946763?
NPI 1104946763 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104946763?
You can verify NPI 1104946763 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104946763?
The primary practice address on file for NPI 1104946763 is Kapolei Building, Kapolei, HI 96707-2014. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104946763 issued?
NPI 1104946763 was first issued (enumerated) on 2007-03-29. The NPPES record was last updated on 2020-08-22.
Practice Location Map
Kapolei Pediatrics Llc is located at Kapolei Building, Kapolei, HI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Kapolei Pediatrics Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104946763. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pediatrics | MD13419 | HI |