PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - HONOLULU, LLC
NPI 1407391824
Prosthetic/Orthotic Supplier in Honolulu, HI
NPI Status: Active since December 20, 2016
Contact Information
1310 PUNAHOU ST
HONOLULU, HI
ZIP 96826
Phone: (808) 951-3715
Fax: (808) 951-3775
- Organization
- Prosthetic/Orthotic Supplier
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 12D1066452
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-22-2027
About PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - HONOLULU, LLC
This page provides the complete NPI Profile along with additional information for Pediatric Orthotic And Prosthetic Services - Honolulu, Llc, a provider established in Honolulu, Hawaii operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1407391824 assigned on December 2016. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Richard Nguyen Co (Manager)
- NPI
- 1407391824
- Provider Name
- PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - HONOLULU, LLC
- Entity Type
- Organization
- Location Address
- 1310 PUNAHOU ST HONOLULU, HI 96826
- Location Phone
- (808) 951-3715
- Location Fax
- (808) 951-3775
- Mailing Address
- PO BOX 947109 ATLANTA, GA 30394
- Mailing Phone
- (813) 367-2876
- Mailing Fax
- (808) 951-3775
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-20-2016
- Last Update Date
- 04-23-2025
- Code Navigator
Pediatric Orthotic And Prosthetic Services - Honolulu, Llc is a medicare supplier with PTAN 20454269 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Lymphedema Compression Treatment Items.
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
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- Taxonomy Description
- An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HMSA Bronze PPO I - PPO
- HMSA Bronze PPO II HSA - PPO
- HMSA Catastrophic Plan - PPO
- HMSA Gold PPO I - PPO
- HMSA Gold PPO II - PPO
- HMSA Platinum PPO - PPO
- HMSA Silver PPO - PPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Essential (No Referrals) - EPO
- UHC Bronze Essential (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Standard+ (Dental + Vision, No Referrals) - EPO
- UHC Bronze Standard+ (Dental + Vision, No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Value HSA (No Referrals) - EPO
- UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals) - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20454269
- Accepts Medicare Assignment
- YES
- Specialities List
- MSC With Orthotic-Prosthetic.
- Competitive Bidding
- NO
Supplies List
- Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
- Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
- Diabetic Shoes and Inserts - Shoes, Socks, Insoles
- Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
- Lymphedema Compression Treatment Items -
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
- 12D1066452
- Facility Type
- Physician Office
- Certificate Effective Date
- March 23, 2025
- Certificate Expiration Date
- March 22, 2027
- Laboratory Director
- LORI L. YAMANAKA MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pediatric Orthotic And Prosthetic Services - Honolulu, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1407391824, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
HONOLULU, HI 96826
HONOLULU, HI 96826
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407391824, enumerated as an "organization" on December 20, 2016.
The provider is located at 1310 PUNAHOU ST HONOLULU, HI 96826 and the phone number is (808) 951-3715.
Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
The provider might be accepting Accepts: HMSA and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.
