KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES
NPI 1689896953
Clinic/Center - Health Service in Honolulu, HI

NPI Status: Active since May 03, 2007

Contact Information

1846 GULICK AVENUE
HONOLULU, HI
ZIP 96819
Phone: (808) 848-0977
Fax: (808) 848-8689

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  • Organization
  • Clinic/Center
  • Health Service
  • Accepts Insurance
  • CLIA Number: 12D0621308
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 08-31-2026

About KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES

This page provides the complete NPI Profile along with additional information for Kokua Kalihi Valley Comprehensive Family Services, a provider established in Honolulu, Hawaii operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1689896953 assigned on May 2007. The practitioner's primary taxonomy code is 261QH0100X with license number 261QH100X (HI). The provider is registered as an organization and their NPI record was last updated March 2026. The provider's . The authorized official of this NPI record is Dr. David Derauf M.d., Mph (Executive Director)

NPI
1689896953
Provider Legal Name
KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1846 GULICK AVENUE HONOLULU, HI 96819
Location Phone
(808) 848-0977
Location Fax
(808) 848-8689
Mailing Address
2239 N SCHOOL ST HONOLULU, HI 96819
Mailing Phone
(808) 791-9413
Mailing Fax
(808) 848-8689
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2007
Last Update Date
03-03-2026
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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 Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License No.
261QH100X
License State
HI

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. DAVID DERAUF M.D., MPH

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(808) 791-9400

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
121838OTHER (01)HIMEDICARE ID
00992101MEDICAID (05)HI 

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
12D0621308
Facility Type
Federally Qualified Health Center
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
LAURA C. DEVILBISS
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Kokua Kalihi Valley Comprehensive Family Services 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.

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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 1689896953, we treat the final digit (3) 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 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

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.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 8 → 16 → 7 8 → 16 → 7 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 6 + 9 + 1 + 6 + 9 + 1 + 2 + 9 + 1 + 0 + 24 = 77

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1689896953.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689896953, enumerated as an "organization" on May 03, 2007.

The provider is located at 1846 GULICK AVENUE HONOLULU, HI 96819 and the phone number is (808) 848-0977.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.

The provider might be accepting Accepts: HMSA, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.