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KAPOLEI PEDIATRICS LLC
NPI 1104946763
Pediatrics in Kapolei, HI

Active since March 29, 2007CLIA 12D2350128 · Waiver
KAPOLEI BUILDING, 1001 KAMOKILA BLVD, SUITE 193, KAPOLEI, HI 96707(808) 693-7300(808) 693-7301 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kapolei Pediatrics Llc NPPES

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

KAPOLEI PEDIATRICS LLC (NPI 1104946763) is a healthcare organization registered as a pediatrics in Kapolei, Hawaii and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through September 1, 2028 and lists Jason T Ninomiya, Proprietor, as its authorized official.

NPPES Registry Identity

NPI1104946763
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKAPOLEI PEDIATRICS LLC
Location AddressKAPOLEI BUILDING, 1001 KAMOKILA BLVD, SUITE 193Kapolei, HI 96707-2014
Mailing AddressKapolei Building, 1001 Kamokila Blvd, Suite 193Kapolei, HI 96707-2014 · (808) 693-7300 · Fax (808) 693-7301
Phone(808) 693-7300
Fax(808) 693-7301
Organization SubpartNo
Authorized OfficialJason T NinomiyaProprietor · (808) 693-7300
Enumeration DateMarch 29, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104946763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in HI · MD13419
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
KAPOLEI BUILDING, Kapolei, HI 96707
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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 12D2350128

Kapolei Pediatrics, LLC · Kapolei, HI
Active · expires Sep 1, 2028
CLIA Number12D2350128
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2026
Certificate Expiration DateSeptember 1, 2028
Laboratory DirectorJason T. Ninomiya
Laboratory Phone(808) 693-7300
Laboratory LocationKapolei Pediatrics, LLC1001 Kamokila Blvd, Suite 193, Kapolei, HI 96707
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Kapolei Pediatrics LLC's NPI number?

The NPI number for Kapolei Pediatrics LLC is 1104946763. It was assigned to this organization in the NPPES registry on March 29, 2007.

Where is Kapolei Pediatrics LLC located?

Kapolei Pediatrics LLC is located at Kapolei Building 1001 Kamokila Blvd, Suite 193, Kapolei, HI 96707. The listed phone number is (808) 693-7300.

What is Kapolei Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Kapolei Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2350128) is associated with this NPI, valid through September 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kapolei Pediatrics LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.