CANYON PRIMARY CARE LLC
NPI 1295341550
Family Medicine in Kailua, HI
About Canyon Primary Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANYON PRIMARY CARE LLC (NPI 1295341550), doing business as Kailua Primary Care, is a healthcare organization registered as a family medicine in Kailua, Hawaii and active in the NPI registry since September 2020. The organization lists Sarah Canyon, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Canyon Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Canyon Primary Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Canyon Primary Care LLC's NPI number?
The NPI number for Canyon Primary Care LLC is 1295341550. It was assigned to this organization in the NPPES registry on September 21, 2020. The provider is doing business as Kailua Primary Care.
Where is Canyon Primary Care LLC located?
Canyon Primary Care LLC is located at 328 Uluniu St Ste 103, Kailua, HI 96734. The listed phone number is (808) 263-3020.
What is Canyon Primary Care LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Canyon Primary Care LLC enrolled in Medicare?
Yes. Canyon Primary Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Canyon Primary Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Canyon Primary Care LLC, in Family Practice and Registered Dietitian or Nutrition Professional. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Canyon Primary Care LLC was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Canyon Primary Care Llc · NPI 1295341550
Family Medicine organization in Kailua, Hawaii. Organization record, active in the CMS NPPES registry since September 21, 2020.
## Identity
- **NPI:** 1295341550 (Entity type: Organization)
- **Enumerated:** September 21, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Kailua Primary Care (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Sarah Canyon, OWNER
## Practice location
- **Address:** 328 ULUNIU ST STE 103, Kailua, HI 96734-2542
- **Phone:** (808) 263-3020 · **Fax:** (808) 762-1586
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Registered Dietitian or Nutrition Professional (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2022
- **Other identifiers:** Medicaid 814873 (HI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1295341550) · Data from the CMS NPPES public registry.