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KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES
NPI 1114074622
Clinic/Center - Federally Qualified Health Center (FQHC) in Honolulu, HI

Active since January 05, 2007CLIA 12D0621308 · Microscopy
2239 N SCHOOL ST, HONOLULU, HI 96819(808) 791-9400(808) 848-0979 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kokua Kalihi Valley Comprehensive Family Services NPPES

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

KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES (NPI 1114074622) is a healthcare organization registered as a federally qualified health center (fqhc) in Honolulu, Hawaii and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists David Derauf, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1114074622
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameKOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES
Location Address2239 N SCHOOL STHonolulu, HI 96819-2539
Mailing Address2239 N School StHonolulu, HI 96819-2539 · (808) 791-9400 · Fax (808) 848-0979
Phone(808) 791-9400
Fax(808) 848-0979
Organization SubpartNo
Authorized OfficialDavid DeraufExecutive Director · (808) 791-9400
Enumeration DateJanuary 5, 2007
Last NPPES UpdateNovember 25, 2014
✔ NPI 1114074622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
2239 N SCHOOL ST, Honolulu, HI 96819
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINHKKVHHI
Other121800HI · Medicare Id
Medicaid598237HI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kokua Kalihi Valley Comprehensive Family Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

38

Medicare enrollment records show 38 clinicians reassign Medicare billing to Kokua Kalihi Valley Comprehensive Family Services, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 35 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Family Practice7
Nurse Practitioner7
Clinical Psychologist4
Clinical Social Worker3
Dentist3
Internal Medicine3
Pediatric Medicine3
Optometry2
6 other specialties6

Nearest to this location (20)

See all 38
Christine Cheu, OD
Optometry
NPI 1255174983
2239 N SCHOOL ST
Honolulu, HI 96819
(808) 791-9400
✔ PECOS✔ Accepts MedicareSame address
Laureen Nilo, DO
Family Practice
NPI 1972183424
2239 N SCHOOL ST
Honolulu, HI 96819
(808) 791-9467
✔ PECOSSame address
David Derauf, MD
Preventive Medicine
NPI 1245305523
2239 N SCHOOL ST
Honolulu, HI 96819
(808) 791-9400
✔ PECOS✔ Accepts MedicareSame address
Laura Devilbiss, MD
Family Practice
NPI 1649345638
2239 N SCHOOL ST
Honolulu, HI 96819
(808) 791-9400
✔ PECOS✔ Accepts MedicareSame address
Tracy Lynne Fernando, MSN,APRN-RX,FNP-BC,A
Nurse Practitioner
NPI 1770940892
2239 N. SCHOOL ST. KOKUA KALIHI VALLEY
Honolulu, HI 96819
(808) 791-9410
✔ PECOS✔ Accepts MedicareSame address
Rochelle Gonzales, NP
Nurse Practitioner
NPI 1225462492
2239 N SCHOOL ST
Honolulu, HI 96819
(808) 791-9410
✔ PECOS✔ Accepts MedicareSame address
Alexis Grieves, DNP, APRN, PMHNP-BC
Nurse Practitioner
NPI 1235788738
2239 N SCHOOL ST
Honolulu, HI 96819
(808) 791-9400
✔ PECOS✔ Accepts MedicareSame address
Jason Hiramoto, DDS
Dentist
NPI 1568546752
2239 N SCHOOL ST
Honolulu, HI 96819
(808) 791-9400
✔ PECOSSame address
Mya Hla, MD
Psychiatry
NPI 1417167438
2239 N SCHOOL ST
Honolulu, HI 96819
(808) 791-9400
✔ PECOSSame address
Nicole Littenberg, MD
Internal Medicine
NPI 1972602456
2239 N SCHOOL ST
Honolulu, HI 96819
(808) 791-9400
✔ PECOS✔ Accepts MedicareSame address
Jhoanna Mabutas, MD
Internal Medicine
NPI 1841281599
2239 N SCHOOL ST
Honolulu, HI 96819
(808) 791-9410
✔ PECOSSame address
Melanie Nakatani, DNP
Nurse Practitioner
NPI 1487316246
2239 N SCHOOL ST
Honolulu, HI 96819
(808) 791-9400
✔ PECOS✔ Accepts MedicareSame address
Jui-Feng Tatekawa-Chen
Clinical Psychologist
NPI 1831412253
2239 N SCHOOL ST
Honolulu, HI 96819
(808) 791-9400
✔ PECOSSame address
Alicia Turlington, M.D.
Pediatric Medicine
NPI 1801055470
2239 N SCHOOL ST
Honolulu, HI 96819
(808) 791-9410
✔ PECOSSame address
Sheryl Yoshimura, RD
Registered Dietitian or Nutrition Professional
NPI 1558418772
2239 N SCHOOL ST
Honolulu, HI 96819
(808) 791-9400
Same address
Kathleen Oliver, DMD
Dentist
NPI 1164957882
2229 NORTH SCHOOL ST. KOKUA KALIHI VALLEY HEALTH CENTER
Honolulu, HI 96819
(808) 791-9428
✔ PECOSSame address
Jennifer Filiatreau, O.D.
Optometry
NPI 1033189063
2229 N SCHOOL ST
Honolulu, HI 96819
(808) 791-9400
✔ PECOS✔ Accepts MedicareSame address
2229 NORTH SCHOOL ST
Honolulu, HI 96819
(808) 791-9428
✔ PECOSSame address
Teresa Parsons, FNP-WOMEN'S HEALTH
Nurse Practitioner
NPI 1326119355
2229 N SCHOOL ST
Honolulu, HI 96819
(520) 533-2253
✔ PECOSSame address
Dawn Taniguchi, MD
Internal Medicine
NPI 1134358187
2239 N SCHOOL ST
Honolulu, HI 96819
(808) 791-9400
✔ PECOS✔ Accepts Medicare0.2 mi
See all 38 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 12D0621308

Kokua Kalihi Valley Comprehensive Family Services · Honolulu, HI
Active · expires Aug 31, 2028
CLIA Number12D0621308
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorLaura C. Devilbiss
Laboratory Phone(808) 791-9400
Laboratory LocationKokua Kalihi Valley Comprehensive Family Services2239 North School Street, Honolulu, HI 96819
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Kokua Kalihi Valley Comprehensive Family Services's NPI number?

The NPI number for Kokua Kalihi Valley Comprehensive Family Services is 1114074622. It was assigned to this organization in the NPPES registry on January 5, 2007.

Where is Kokua Kalihi Valley Comprehensive Family Services located?

Kokua Kalihi Valley Comprehensive Family Services is located at 2239 N School St, Honolulu, HI 96819. The listed phone number is (808) 791-9400.

What is Kokua Kalihi Valley Comprehensive Family Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Kokua Kalihi Valley Comprehensive Family Services enrolled in Medicare?

Yes. Kokua Kalihi Valley Comprehensive Family Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kokua Kalihi Valley Comprehensive Family Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 38 clinicians in 14 Medicare specialties reassign their Medicare billing to Kokua Kalihi Valley Comprehensive Family Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (7), Nurse Practitioner (7) and Clinical Psychologist (4). Of these, 19 practice at this address and 35 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kokua Kalihi Valley Comprehensive Family Services hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 12D0621308) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kokua Kalihi Valley Comprehensive Family Services accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee and HMSA list Kokua Kalihi Valley Comprehensive Family Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kokua Kalihi Valley Comprehensive Family Services was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.