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SOMA CLINIC LLC
NPI 1194415935
Family Medicine in Honolulu, HI

Active since May 12, 2023CLIA 12D2236001 · Waiver
2155 KALAKAUA AVE STE 112, HONOLULU, HI 96815(808) 358-2182(808) 900-5797 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Soma Clinic Llc NPPES

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

SOMA CLINIC LLC (NPI 1194415935) is a healthcare organization registered as a family medicine in Honolulu, Hawaii and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through September 13, 2027 and lists Yoichi Soma, Member, as its authorized official.

NPPES Registry Identity

NPI1194415935
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOMA CLINIC LLC
Location Address2155 KALAKAUA AVE STE 112Honolulu, HI 96815-2354
Mailing Address2155 Kalakaua Ave Ste 112Honolulu, HI 96815-2354 · (808) 358-2182 · Fax (808) 900-5797
Phone(808) 358-2182
Fax(808) 900-5797
Organization SubpartNo
Authorized OfficialYoichi SomaMember · (808) 722-4135
Enumeration DateMay 12, 2023
NPPES CertifiedMay 12, 2023
✔ NPI 1194415935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse PractitionerTaxonomy 363L00000X
2155 KALAKAUA AVE STE 112, Honolulu, HI 96815
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soma Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Soma Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Yoichi Soma, M.D.
Family Practice
NPI 1497809032
88 PIIKOI ST #1308
Honolulu, HI 96814
(808) 722-4135
✔ PECOS1.4 mi

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 of Waiver 12D2236001

Soma Clinic · Honolulu, HI
Active · expires Sep 13, 2027
CLIA Number12D2236001
Laboratory TypePhysician Office
Certificate Effective DateSeptember 14, 2025
Certificate Expiration DateSeptember 13, 2027
Laboratory DirectorDr. Yoichi C. Soma
Laboratory Phone(808) 722-4135
Laboratory LocationSoma Clinic2155 Kalakaua Avenue, Suite 319, Honolulu, HI 96815
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 Soma Clinic LLC's NPI number?

The NPI number for Soma Clinic LLC is 1194415935. It was assigned to this organization in the NPPES registry on May 12, 2023.

Where is Soma Clinic LLC located?

Soma Clinic LLC is located at 2155 Kalakaua Ave Ste 112, Honolulu, HI 96815. The listed phone number is (808) 358-2182.

What is Soma Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Soma Clinic LLC enrolled in Medicare?

Yes. Soma Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Soma Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Soma Clinic LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Soma Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2236001) is associated with this NPI, valid through September 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Soma Clinic LLC was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.