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OUTREACH MEDICAL GROUP DOWNTOWN LLC
NPI 1659080901
Nurse Practitioner in Honolulu, HI

Active since November 15, 2022CLIA 12D2274449 · Waiver
928 NUUANU AVE # 1-C, HONOLULU, HI 96817(808) 845-5550(808) 845-5557 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Outreach Medical Group Downtown Llc NPPES

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

OUTREACH MEDICAL GROUP DOWNTOWN LLC (NPI 1659080901) is a healthcare organization registered as a nurse practitioner in Honolulu, Hawaii and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through January 3, 2027 and lists Derek M Tengan, Member, as its authorized official.

NPPES Registry Identity

NPI1659080901
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameOUTREACH MEDICAL GROUP DOWNTOWN LLC
Location Address928 NUUANU AVE # 1-CHonolulu, HI 96817-5190
Mailing Address94-449 Akoki St Ste 104Waipahu, HI 96797-2732
Phone(808) 845-5550
Fax(808) 845-5557
Organization SubpartNo
Authorized OfficialDerek M TenganMember · (808) 845-5550
Enumeration DateNovember 15, 2022
Last NPPES UpdateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1659080901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
928 NUUANU AVE # 1-C, Honolulu, HI 96817
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

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 12D2274449

Outreach Medical Group Downtown, LLC · Honolulu, HI
Active · expires Jan 3, 2027
CLIA Number12D2274449
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorDerek M. Tengan
Laboratory Phone(808) 845-5550
Laboratory LocationOutreach Medical Group Downtown, LLC928 Nuuanu Ave #1-C, Honolulu, HI 96817
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Outreach Medical Group Downtown LLC's NPI number?

The NPI number for Outreach Medical Group Downtown LLC is 1659080901. It was assigned to this organization in the NPPES registry on November 15, 2022.

Where is Outreach Medical Group Downtown LLC located?

Outreach Medical Group Downtown LLC is located at 928 Nuuanu Ave # 1-C, Honolulu, HI 96817. The listed phone number is (808) 845-5550.

What is Outreach Medical Group Downtown LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Outreach Medical Group Downtown LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2274449) is associated with this NPI, valid through January 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Outreach Medical Group Downtown LLC accept?

Health plans from HMSA list Outreach Medical Group Downtown LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Outreach Medical Group Downtown LLC was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.