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KAISER PERMANENTE
NPI 1275985111
Clinic/Center in Wailuku, HI

Active since July 04, 2016CLIA Certified · 6 labs
80 MAHALANI ST, WAILUKU, HI 96793(661) 477-7571 Get Directions Write a Review

NPPES record last updated: July 4, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaiser Permanente NPPES

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

KAISER PERMANENTE (NPI 1275985111) is a healthcare organization registered as a clinic/center in Wailuku, Hawaii and active in the NPI registry since July 2016. The organization holds 6 active CLIA laboratory certificates and lists Victoria Chicca, Speech Language Pathologist, as its authorized official.

NPPES Registry Identity

NPI1275985111
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameKAISER PERMANENTE
Location Address80 MAHALANI STWailuku, HI 96793-2531
Mailing Address80 Mahalani StWailuku, HI 96793-2531 · (661) 477-7571
Phone(661) 477-7571
Organization SubpartNo
Authorized OfficialVictoria ChiccaSpeech Language Pathologist · (661) 477-7571
Enumeration DateJuly 4, 2016
✔ NPI 1275985111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
80 MAHALANI ST, Wailuku, HI 96793
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CLIA Laboratory Certificates CMS CLIA 6

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) 12D0911712

Kaiser Permanente Wailuku Medical Ofc Ppmp · Wailuku, HI
Active · expires Feb 12, 2028
CLIA Number12D0911712
Laboratory TypeHealth Main. Organization
Certificate Effective DateFebruary 13, 2026
Certificate Expiration DateFebruary 12, 2028
Laboratory DirectorDr. Kimble Poon
Laboratory Phone(808) 243-6180
Laboratory LocationKaiser Permanente Wailuku Medical Ofc Ppmp80 Mahalani St Rm A85, Wailuku, HI 96793
CLIA data matches this NPI record on: Address Name
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.

Certificate of Waiver 12D0064381

Kaiser Permanente Wailuku Medical Office Lab · Wailuku, HI
Active · expires Nov 4, 2027
CLIA Number12D0064381
Laboratory TypeIndependent
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateNovember 4, 2027
Laboratory DirectorDr. Brock J. Kaya
Laboratory Phone(808) 243-6180
Laboratory LocationKaiser Permanente Wailuku Medical Office Lab80 Mahalani Street A70, Wailuku, HI 96793
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 12D2065943

Kaiser Permanente Wailuku Med Ofc ASC Lab · Wailuku, HI
Active · expires Sep 16, 2027
CLIA Number12D2065943
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorKristin M. Redenbaugh
Laboratory Phone(808) 243-6460
Laboratory LocationKaiser Permanente Wailuku Med Ofc ASC Lab80 Mahalani St, Wailuku, HI 96793
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 12D2172417

Kaiser Permanente Maui Lani Elua Mob Ppmp · Wailuku, HI
Active · expires Sep 22, 2027
CLIA Number12D2172417
Laboratory TypeHealth Main. Organization
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorDavid Bacchus
Laboratory Phone(808) 243-6000
Laboratory LocationKaiser Permanente Maui Lani Elua Mob Ppmp75 Maui Lani Parkway, Wailuku, HI 96793
CLIA data matches this NPI record on: Name
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.

Certificate of Compliance 12D1031667

Kaiser Permanente Maui Lani Medical Office Lab · Wailuku, HI
Active · expires Apr 27, 2027
CLIA Number12D1031667
Laboratory TypeIndependent
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorDr. Brock J. Kaya
Laboratory Phone(808) 243-6174
Laboratory LocationKaiser Permanente Maui Lani Medical Office Lab55 Maui Lani Parkway, Wailuku, HI 96793
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 12D1033697

Kaiser Permanente Maui Lani Medical Ofc Ppmp · Wailuku, HI
Active · expires Nov 14, 2026
CLIA Number12D1033697
Laboratory TypeHealth Main. Organization
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorDr. David M. Bacchus
Laboratory Phone(808) 243-6171
Laboratory LocationKaiser Permanente Maui Lani Medical Ofc Ppmp55 Maui Lani Parkway, Wailuku, HI 96793
CLIA data matches this NPI record on: Name
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.

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.

BARBARA J BEZDICEK MD
Obstetrics & Gynecology
80 MAHALANI ST
WAILUKU, HI 96793
Maui County (808) 243-6000
KIMBERLEE I. MIYAMOTO LCSW
Social Worker (Clinical)
80 MAHALANI ST
WAILUKU, HI 96793
Maui County (808) 243-6000
JAMES A. FERRIER MD
Orthopaedic Surgery
80 MAHALANI ST
WAILUKU, HI 96793
Maui County (808) 243-6000
NICOLE M RUDY CNM
Advanced Practice Midwife
80 MAHALANI ST
WAILUKU, HI 96793
Maui County (833) 833-3333
MRS. CASSANDRA BICK JOHNSON
Dietitian, Registered
80 MAHALANI ST
WAILUKU, HI 96793
Maui County (808) 243-6000
STEPHEN A. BANGLE MD
Internal Medicine
80 MAHALANI ST
WAILUKU, HI 96793
Maui County (808) 243-6000
KIM H. KAWAKAMI OD
Optometrist
80 MAHALANI ST
WAILUKU, HI 96793
Maui County (808) 243-6000
DR. KIMBERLEY M. I. WIRSING M.D.
Orthopaedic Surgery (Hand Surgery)
80 MAHALANI ST
WAILUKU, HI 96793
Maui County (808) 243-6000

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 Kaiser Permanente's NPI number?

The NPI number for Kaiser Permanente is 1275985111. It was assigned to this organization in the NPPES registry on July 4, 2016.

Where is Kaiser Permanente located?

Kaiser Permanente is located at 80 Mahalani St, Wailuku, HI 96793. The listed phone number is (661) 477-7571.

What is Kaiser Permanente's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Kaiser Permanente hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Kaiser Permanente was last updated on July 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.