KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES (NPI# 1548521164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548521164 |
| Entity Type | Organization |
| Organization Name | KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES |
| Practice Address |
2229 N School St Honolulu HI 96819-2588 |
| Mailing Address |
2239 N School St Honolulu HI 96819-2539 |
| Practice Telephone | 8087919400 |
| Practice Fax Number | 8088480979 |
| Mailing Telephone | 8087919400 |
| Mailing Fax Number | 8088480979 |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2014-11-25 |
| Authorized Official Name | DR. DAVID D DERAUF (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8087919400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
HI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 697336 | 05 | |
| HI | MEDICARE ID | 121847 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548733397 | Kokua Kalihi Valley Comprehensive Family Services | Clinic/Center | 3659 Kalihi St, Honolulu, HI 96819-3038 | 2019-01-04 |
| 1689896953 | Kokua Kalihi Valley Comprehensive Family Services | Clinic/Center | 1846 Gulick Avenue, Honolulu, HI 96819 | 2007-05-03 |
| 1558583856 | Kokua Kalihi Valley Comprehensive Family Services | Clinic/Center | 1475 Linapuni St Bldg A, Honolulu, HI 96819-3569 | 2007-05-03 |
| 1851705255 | Kokua Kalihi Valley Comprehensive Family Services | Clinic/Center | 2239 N School St, Honolulu, HI 96819-2539 | 2014-06-13 |
| 1114074622 | Kokua Kalihi Valley Comprehensive Family Services | Clinic/Center | 2239 N School St, Honolulu, HI 96819-2539 | 2007-01-05 |
| Street Address |
2229 N SCHOOL ST |
| City | HONOLULU |
| State | HI |
| Zip Code | 96819-2588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972134195 | Gordean K Kaluahine | Dentist | 2229 N School St, Honolulu, HI 96819-2588 | 2020-01-27 |
| 1801359997 | Anna Chavez | Student in an Organized Health Care Education/Training Program | 2229 N School St, Honolulu, HI 96819-2588 | 2019-04-07 |
| 1730644741 | Samuel Minoru Ishimura | Dentist | 2229 N School St, Honolulu, HI 96819-2588 | 2019-02-04 |
| 1629566765 | Brian H Wu | Dentist | 2229 N School St, Honolulu, HI 96819-2588 | 2018-04-24 |
| 1851831002 | Valerie Velasco | Dentist | 2229 N School St, Honolulu, HI 96819 | 2017-03-06 |
| 1598124117 | Jacy Yoshimoto | Student in an Organized Health Care Education/Training Program | 2229 N School St, Honolulu, HI 96819-2588 | 2016-02-11 |
| 1104283621 | Kathleen Cruz | Student in an Organized Health Care Education/Training Program | 2229 N School St, Honolulu, HI 96819-2588 | 2016-01-28 |
| 1922466473 | Anne Tran | Dentist | 2229 N School St, Honolulu, HI 96819-2588 | 2016-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507621 | Corrie Sanders | Pharmacist | 450 Patterson Rd, Honolulu, HI 96819 | 2020-01-17 |
| 1245870526 | Ouida Searay Vaillancourt | Dental Hygienist | 339 Mongomery Ave, Honolulu, HI 96819 | 2020-01-14 |
| 1942852660 | Kolea Home Care | In Home Supportive Care | 2229 Kula Kolea Drive, Honolulu, HI 96819 | 2019-07-12 |
| 1164957882 | Kathleen Oliver | Student in an Organized Health Care Education/Training Program | 2229 North School St., Kokua Kalihi Valley Health Center, Honolulu, HI 96819 | 2017-05-01 |
| 1720436058 | Aaron Taniguchi | Physical Therapist | 1740 Ala Aolani St, Honolulu, HI 96819 | 2016-05-26 |
| 1770940892 | Tracy Lynne Khan Fernando | Nurse Practitioner | 2239 N. School St., Kokua Kalihi Valley, Honolulu, HI 96819 | 2016-01-20 |
| 1275961385 | Gavino T. Vinzons M.d, Inc | Family Medicine | 2055 N. King St. Ste 102, Honolulu, HI 96819 | 2013-10-29 |
| 1407195118 | Candace Adeline Schumacher | Licensed Vocational Nurse | 1460 Ala Aolani, Honolulu, HI 96819 | 2013-02-01 |
| 1750629556 | Benjamin L Kilinski | Nurse Practitioner | 1803 Kamehameha Iv Road, Honolulu, HI 96819 | 2013-01-29 |
| 1366701047 | Doreen Anela Oura Ramseyer | Case Manager/Care Coordinator | 1130 N. Nimitz Hwy., C-301, Honolulu, HI 96819 | 2012-05-15 |
| Find all providers in zip 96819 | ||||
| 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 |
| 1063668473 | Waikiki Health | Clinic/Center | 415 Keoniana St, Honolulu, HI 96815-2018 | 2008-08-18 |
| 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 | ||||
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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.