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KAHALA CLINIC LLC
NPI 1053666842
Psychiatry & Neurology - Child & Adolescent Psychiatry in Honolulu, HI

Active since July 17, 2012CLIA 12D2117301 · Waiver
4211 WAIALAE AVE, SUITE 207, HONOLULU, HI 96816(808) 542-7349 Get Directions Write a Review

NPPES record last updated: July 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kahala Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAHALA CLINIC LLC (NPI 1053666842) is a healthcare organization registered as a child & adolescent psychiatry in Honolulu, Hawaii and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through August 11, 2026 and lists Jason Richard Keifer, Owner, as its authorized official.

NPPES Registry Identity

NPI1053666842
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameKAHALA CLINIC LLC
Location Address4211 WAIALAE AVE, SUITE 207Honolulu, HI 96816-5319
Mailing Address4211 Waialae Ave, Suite 207Honolulu, HI 96816-5319
Phone(808) 542-7349
Organization SubpartNo
Authorized OfficialJason Richard KeiferOwner · (808) 542-7349
Enumeration DateJuly 17, 2012
✔ NPI 1053666842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in HI · MD12987
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
4211 WAIALAE AVE, Honolulu, HI 96816
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D2117301

Kahala Clinic For Children And Family · Honolulu, HI
Active · expires Aug 11, 2026
CLIA Number12D2117301
Laboratory TypeClinic
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorDr. Jason R. Keifer
Laboratory Phone(808) 888-5228
Laboratory LocationKahala Clinic For Children And Family4211 Waialae Ave Ste 208, Honolulu, HI 96816
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KATIE AKIKO AZAMA NP-C
Nurse Practitioner (Family)
4211 WAIALAE AVE
HONOLULU, HI 96816
Honolulu County (808) 732-0784
JASMIN L CURIEL RPH
Pharmacist
4211 WAIALAE AVE
HONOLULU, HI 96816
Honolulu County (808) 732-0782
MICHAEL F SCWHINN DDS
Dentist (General Practice)
4211 WAIALAE AVE, SUITE 500
HONOLULU, HI 96816
Honolulu County (808) 735-2627
DR. ANTOINE JEAN CAZIN M.D.
Family Medicine
4211 WAIALAE AVE, #507
HONOLULU, HI 96816
Honolulu County (808) 732-0880
KAHALA CHILDRENS MEDICAL GROUP LLC
Pediatrics
4211 WAIALAE AVE, SUITE 205
HONOLULU, HI 96816
Honolulu County (808) 732-2848
KEVIN S SUGIKI DDS, LLC
Dentist (General Practice)
4211 WAIALAE AVE, SUITE 301
HONOLULU, HI 96816
Honolulu County (808) 735-8555
LONGS DRUG STORES CALIFORNIA LLC
Pharmacy
4211 WAIALAE AVE
HONOLULU, HI 96816
Honolulu County (808) 732-0782
NELSON IWATA, O.D. INC.
Optometrist
4211 WAIALAE AVE, STE 5090
HONOLULU, HI 96816
Honolulu County (808) 722-4112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kahala Clinic LLC's NPI number?

The NPI number for Kahala Clinic LLC is 1053666842. It was assigned to this organization in the NPPES registry on July 17, 2012.

Where is Kahala Clinic LLC located?

Kahala Clinic LLC is located at 4211 Waialae Ave Suite 207, Honolulu, HI 96816. The listed phone number is (808) 542-7349.

What is Kahala Clinic LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Does Kahala Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2117301) is associated with this NPI, valid through August 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kahala Clinic LLC was last updated on July 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.