WAHIAWA FAMILY PRACTICE CLINIC INC
NPI 1386753903
Clinic/Center in Wahiawa, HI

NPI Status: Active since August 29, 2006

Contact Information

302 CALIFORNIA AVE
SUITE 103
WAHIAWA, HI
ZIP 96786
Phone: (808) 621-7733
Fax: (808) 621-7799

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
CLIA Number: 12D0992012
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 10-03-2025

About WAHIAWA FAMILY PRACTICE CLINIC INC

This page provides the complete NPI Profile along with additional information for Wahiawa Family Practice Clinic Inc, a provider established in Wahiawa, Hawaii operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1386753903 assigned on August 2006. The practitioner's primary taxonomy code is 261Q00000X with license number MD11212 (HI). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Jason Tai Pang Lam Md (President)

NPI: 1386753903
Provider Name: WAHIAWA FAMILY PRACTICE CLINIC INC
Entity Type: Organization
Location Address: 302 CALIFORNIA AVE SUITE 103 WAHIAWA, HI 96786
Location Phone: (808) 621-7733
Location Fax: (808) 621-7799
Mailing Address: 302 CALIFORNIA AVE SUITE 103 WAHIAWA, HI 96786
Mailing Phone: (808) 621-7733
Mailing Fax: (808) 621-7799
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 08-29-2006
Last Update Date: 08-22-2020
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center
Taxonomy Code: 261Q00000X
Type: Ambulatory Health Care Facilities
License No.: MD11212
License State: HI
Taxonomy Description: 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).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. JASON TAI PANG LAM MD
Authorized Official Title: PRESIDENT
Authorized Official Phone: (808) 621-7733

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 12D0992012
Facility Type: Physician Office
Certificate Effective Date: October 04, 2023
Certificate Expiration Date: October 03, 2025
Laboratory Director: JASON T. LAM, MD
Certificate Type: Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description: This CLIA certificate is issued to Wahiawa Family Practice Clinic Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	3	8	6	7	5	3	9	0	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	3	16	6	14	5	6	9	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 1 + 4 + 5 + 6 + 9 + 0 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3									3

The NPI number 1386753903 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

DR. HUGH NORMAN HAZENFIELD M.D.

Specialist

302 CALIFORNIA AVE
SUITE 216
WAHIAWA, HI
ZIP 96786

About WAHIAWA FAMILY PRACTICE CLINIC INC

Location Map

Specialty - Primary Taxonomy

Clinic/Center

Authorized Official

DR. JASON TAI PANG LAM MD

CLIA Information

Reviews for WAHIAWA FAMILY PRACTICE CLINIC INC

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is WAHIAWA FAMILY PRACTICE CLINIC INC's NPI number?

Where is the provider located?

What is the provider's specialty?