WAIKIKI HEALTH (NPI# 1063668473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063668473 |
| Entity Type | Organization |
| Organization Name | WAIKIKI HEALTH |
| Other Organization Name | WAIKIKI HEALTH YOUTH OUTREACH |
| Practice Address |
415 Keoniana St Honolulu HI 96815-2018 |
| Mailing Address |
277 Ohua Ave Honolulu HI 96815-6612 |
| Practice Telephone | 8089425858 |
| Practice Fax Number | 8089429633 |
| Mailing Telephone | 8087919355 |
| Mailing Fax Number | 8086976849 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2013-12-06 |
| Authorized Official Name | SHEILA BECKHAM (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8087919302 |
| Authorized Official Credential | RD, MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 04701301 | 05 |
| Other Name | Type Code |
|---|---|
| Waikiki Health Youth Outreach | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629330550 | Waikiki Health | Clinic/Center | Pier 1 Forrest Ave, Honolulu, HI 96813-2831 | 2012-06-15 |
| 1992257851 | Waikiki Health | Clinic/Center | 277 Ohua Ave, Honolulu, HI 96815-6612 | 2016-10-26 |
| 1093156119 | Waikiki Health | Clinic/Center | 935 Makahiki Way, Honolulu, HI 96826-2896 | 2013-07-17 |
| 1528359791 | Waikiki Health | Clinic/Center | 845 22nd Ave, Honolulu, HI 96816-4521 | 2011-04-22 |
| 1952567380 | Waikiki Health | Clinic/Center | 3020 Waialae Ave, Honolulu, HI 96816-1506 | 2008-08-05 |
| 1679646509 | Waikiki Health | Clinic/Center | 277 Ohua Avenue, Honolulu, HI 96815-3643 | 2006-11-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WAIKIKI HEALTH | 277 Ohua Ave, Honolulu, HI 96815-6612 |
| Street Address |
415 KEONIANA ST |
| City | HONOLULU |
| State | HI |
| Zip Code | 96815-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942534458 | Janelle Jinbo-labuguen | Nurse Practitioner | 415 Keoniana St, Honolulu, HI 96815-2018 | 2009-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861956609 | Kristen Nicole Sutton | Counselor | 1888 Kalakaua Ave., Suite C312, Honolulu, HI 96815 | 2019-01-25 |
| 1760954192 | Mie Takizawa Lilavois | Nurse Practitioner | 120 Ka'iulani Ave, #kw 10&11, Honolulu, HI 96815 | 2018-12-25 |
| 1588131320 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 449 Kapahulu Avenue, Suite 104, Honolulu, HI 96815 | 2018-10-30 |
| 1679906614 | Stephen Anthony Reynolds | Psychologist | 1684 Ala Moana Blvd Apt 252, Honolulu, HI 96815 | 2013-08-13 |
| 1275974834 | Sean David Tarrant | Behavioral Analyst | 456 Keoniana St Apt 304, Honolulu, HI 96815 | 2013-07-11 |
| 1679841928 | Saki Kimura | Physical Therapist | 120 Kaiuiani Ave., # Kw 10 & 11, Honolulu, HI 96815 | 2011-12-01 |
| 1376782243 | Ed G Fess | Preventive Medicine | 3038 La Pietra Cir, Honolulu, HI 96815 | 2009-02-16 |
| 1386813095 | Cck Daniel LLC | Family Medicine | 460 Ena Road, #603, Honolulu, HI 96815 | 2008-02-27 |
| 1932377751 | Ryan Koichi Frasco | Dentist | 3358 Campbell Avenue, Honolulu, HI 96815 | 2008-02-14 |
| 1952522609 | Stephen Richard Ho | Dentist | 438 Hobron Lane, Ste 209, Honolulu, HI 96815 | 2007-05-01 |
| Find all providers in zip 96815 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548733397 | Kokua Kalihi Valley Comprehensive Family Services | Clinic/Center | 3659 Kalihi St, Honolulu, HI 96819-3038 | 2019-01-04 |
| 1629330550 | Waikiki Health | Clinic/Center | Pier 1 Forrest Ave, Honolulu, HI 96813-2831 | 2012-06-15 |
| 1548521164 | Kokua Kalihi Valley Comprehensive Family Services | Clinic/Center | 2229 N School St, Honolulu, HI 96819-2588 | 2012-05-30 |
| 1417127507 | Kalihi-palama Health Center | Clinic/Center | 89 S King St, Honolulu, HI 96813 | 2008-03-05 |
| 1508889379 | Kalihi-palama Health Center | Clinic/Center | 904 Kohou St, Honolulu, HI 96817-4420 | 2006-07-25 |
| 1689696395 | Kalihi-palama Health Center | Clinic/Center | 350 Sumner St, Honolulu, HI 96817-5087 | 2006-07-24 |
| 1659393486 | Kalihi-palama Health Center | Clinic/Center | 546 Kaaahi St, Honolulu, HI 96817-4630 | 2006-07-24 |
| 1326068800 | Kalihi-palama Health Center | Clinic/Center | 41 S Beretania St, Honolulu, HI 96813-2220 | 2006-07-20 |
| 1992257851 | Waikiki Health | Clinic/Center | 277 Ohua Ave, Honolulu, HI 96815-6612 | 2016-10-26 |
| 1851705255 | Kokua Kalihi Valley Comprehensive Family Services | Clinic/Center | 2239 N School St, Honolulu, HI 96819-2539 | 2014-06-13 |
| Find all providers in HONOLULU | ||||
Please comment or provide details below to improve the information on WAIKIKI HEALTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.