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KAHALA PEDIATRICS, LLC
NPI 1457477010
Specialist in Honolulu, HI

Active since March 22, 2007CLIA 12D0981087 · Waiver
4747 KILAUEA AVE, #202, HONOLULU, HI 96816(808) 735-5541 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kahala Pediatrics, Llc NPPES

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

KAHALA PEDIATRICS, LLC (NPI 1457477010) is a healthcare organization registered as a specialist in Honolulu, Hawaii and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 13, 2027 and lists Scott Dezzani, Manager, as its authorized official.

NPPES Registry Identity

NPI1457477010
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKAHALA PEDIATRICS, LLC
Location Address4747 KILAUEA AVE, #202Honolulu, HI 96816-5308
Mailing Address1808 Kanakanui StHonolulu, HI 96819-3224
Phone(808) 735-5541
Organization SubpartNo
Authorized OfficialScott DezzaniManager · (808) 735-5541
Enumeration DateMarch 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1457477010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in HI · MD 10106
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4747 KILAUEA AVE, Honolulu, HI 96816
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 12D0981087

Kahala Pediatrics · Honolulu, HI
Active · expires Aug 13, 2027
CLIA Number12D0981087
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorJoseph S. Ward
Laboratory Phone(808) 735-5541
Laboratory LocationKahala Pediatrics3150 Monsarrat Ave Ste 200, Honolulu, HI 96815
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA LEILANI DOESCHER LMT
Massage Therapist
4747 KILAUEA AVE
HONOLULU, HI 96816
Honolulu County (808) 732-2244
MS. SANDRA LEE CLEGG L.M.T.
Massage Therapist
4747 KILAUEA AVE, STE. 115
HONOLULU, HI 96816
Honolulu County (808) 542-1192
DR. JON K HO DC
Chiropractor
4747 KILAUEA AVE, SUITE 212
HONOLULU, HI 96816
Honolulu County (808) 734-8706
PAUL K. TANAKA DDS INC.
Dentist (General Practice)
4747 KILAUEA AVE, SUITE 113
HONOLULU, HI 96816
Honolulu County (808) 737-6229
JUSTIN H. AKO, D.C.
Chiropractor
4747 KILAUEA AVE, STE. 107
HONOLULU, HI 96816
Honolulu County (808) 732-2244
JANE E FEE MT
Massage Therapist
4747 KILAUEA AVE, SUITE 107
HONOLULU, HI 96816
Honolulu County (808) 255-7779
CHRISTOPHER YOUNG DDS
Dentist
4747 KILAUEA AVE, SUITE 109
HONOLULU, HI 96816
Honolulu County (808) 732-3368
SCOTT GINOZA M.S.
Counselor (Mental Health)
4747 KILAUEA AVE, SUITE 108
HONOLULU, HI 96816
Honolulu County (808) 754-4173

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 Kahala Pediatrics, LLC's NPI number?

The NPI number for Kahala Pediatrics, LLC is 1457477010. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Kahala Pediatrics, LLC located?

Kahala Pediatrics, LLC is located at 4747 Kilauea Ave #202, Honolulu, HI 96816. The listed phone number is (808) 735-5541.

What is Kahala Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Kahala Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D0981087) is associated with this NPI, valid through August 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 Kahala Pediatrics, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.