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SUNSHINE PEDIATRIC CLINIC
NPI 1558803668
Clinic/Center - Primary Care in Hilo, HI

Active since November 07, 2016
199 ULULANI ST, HILO, HI 96720(808) 315-1886 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Sunshine Pediatric Clinic NPPES

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

SUNSHINE PEDIATRIC CLINIC (NPI 1558803668) is a healthcare organization registered as a primary care in Hilo, Hawaii and active in the NPI registry since November 2016. The organization lists Shallon Tore Craddock, Owner, as its authorized official.

NPPES Registry Identity

NPI1558803668
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSUNSHINE PEDIATRIC CLINIC
Location Address199 ULULANI STHilo, HI 96720-2930
Mailing Address2250 Kaumana DrHilo, HI 96720-1316 · (808) 315-1886
Phone(808) 315-1886
Organization SubpartNo
Authorized OfficialShallon Tore CraddockOwner · (808) 315-1519
Enumeration DateNovember 7, 2016
✔ NPI 1558803668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in HI · MD17956
199 ULULANI ST, Hilo, HI 96720
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Other Providers at the Same Location NPPES

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

DR. SHALLON TORE CRADDOCK M.D., M.P.H.
Pediatrics
199 ULULANI ST
HILO, HI 96720
Hawaii County (808) 315-1886

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 Sunshine Pediatric Clinic's NPI number?

The NPI number for Sunshine Pediatric Clinic is 1558803668. It was assigned to this organization in the NPPES registry on November 7, 2016.

Where is Sunshine Pediatric Clinic located?

Sunshine Pediatric Clinic is located at 199 Ululani St, Hilo, HI 96720. The listed phone number is (808) 315-1886.

What is Sunshine Pediatric Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Sunshine Pediatric Clinic was last updated on November 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.