ISLAND FUNCTIONAL MEDICINE LLC (NPI# 1396355616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396355616 |
| Entity Type | Organization |
| Organization Name | ISLAND FUNCTIONAL MEDICINE LLC |
| Practice Address |
2176 Lauwiliwili St Ste 12 Kapolei HI 96707-1882 |
| Mailing Address |
92-1535 Aliinui Dr # 6b Kapolei HI 96707-2223 |
| Practice Telephone | 8084653000 |
| Practice Fax Number | 8084653574 |
| Mailing Telephone | 8083521680 |
| Enumeration Date | 2020-08-01 |
| Last Update Date | 2020-08-01 |
| Authorized Official Name | KALIN SUZUKI (OWNER) |
| Authorized Official Telephone | 8083521680 |
| Authorized Official Credential | ND |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
2176 LAUWILIWILI ST STE 12 |
| City | KAPOLEI |
| State | HI |
| Zip Code | 96707-1882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730698960 | Kalin Suzuki | Naturopath | 2176 Lauwiliwili St Ste 12, Kapolei, HI 96707-1882 | 2017-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840578 | Brittany Feiteira | Community Health Worker | Napuakea Waiver Program Service Center, 92-461 Makakilo Drive, Kapolei, HI 96707 | 2019-06-14 |
| 1023537297 | Virgil Tanizaki | Acupuncturist | 2176 Lauwiliwili St Unit 1 Office 12, Kapolei, HI 96707 | 2017-09-19 |
| 1902355886 | Lorelei Bandola | Specialist/Technologist | 91-1180 Midway Rd, Kapolei, HI 96707 | 2016-10-03 |
| 1063867794 | Denna Macanas | Massage Therapist | 599 Farrington Hwy., Ste.#102, Kapolei, HI 96707 | 2016-05-02 |
| 1962888065 | Harumi Redden | Massage Therapist | 1001 Kamokila Blvd, Suite 114, Kapolei, HI 96707 | 2015-07-31 |
| 1851783351 | Leigh Oyler | Physical Therapist | 91-1027 Shangrila Street, Bldg 1867, Kapolei, HI 96707 | 2015-02-21 |
| 1326440207 | Hsiao-ling Shen Hoshino | Dentist | 590 Farrington Hwy Unit 523, Kapolei, HI 96707 | 2014-09-22 |
| 1992131387 | Kaiser Foundation Health Plan, Inc. | Pharmacy | Kaiser Kapolei Pharmacy, 599 Farrington Highway, Kapolei, HI 96707 | 2013-09-18 |
| 1083959993 | Foodland Super Market Limited | Pharmacy | 4850 Kapolei Parkway, Kapolei, HI 96707 | 2012-12-04 |
| 1407108095 | Kristen Pagulayan | Social Worker | 92-7038 Elele St, Kapolei, HI 96707 | 2012-10-08 |
| Find all providers in zip 96707 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609166537 | The Family Doctor | Clinic/Center | 1001 Kamokila Blvd Ste 181, Kapolei, HI 96707-2090 | 2011-04-12 |
| 1205112109 | Keiki Korner Pediatrics | Clinic/Center | 1001 Kamokila Blvd, Suite 197, Kapolei, HI 96707-2014 | 2011-10-25 |
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| 1972071538 | Foundaton Research | Clinic/Center | 1314 S King St Ste 653, Honolulu, HI 96814-1979 | 2018-11-12 |
| 1962929398 | Mark T. Kuge,md,inc | Clinic/Center | 1481 S King St Ste 310, Honolulu, HI 96814-2684 | 2017-08-25 |
| 1346784139 | East Maui Medical Clinic, LLP | Clinic/Center | 4950 Uakea Road, Unit 2, Hana, HI 96713-0278 | 2016-12-13 |
| 1487102877 | Ka Wai Ola Medical Clinic LLC | Clinic/Center | 16-590 Old Volcano Rd, Ste. A, Keaau, HI 96749-8158 | 2016-09-14 |
| 1790230480 | Emi Ota, M.d., Inc. | Clinic/Center | 850 W Hind Dr Ste 205, Honolulu, HI 96821-1845 | 2016-08-23 |
| Find all providers with the same taxonomy | ||||
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| 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.