MALAMA KIDNEY CENTER, LLC
NPI 1699329839
Nurse Practitioner - Community Health in Honolulu, HI

Q: What is Malama Kidney Center, LLC's NPI number?

The NPI number for Malama Kidney Center, LLC is 1699329839. It was assigned to this organization in the NPPES registry on July 25, 2019.

Q: What is Malama Kidney Center, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

Active since July 25, 2019

1357 KAPIOLANI BLVD STE 1460, HONOLULU, HI 96814(808) 942-1852(808) 943-8732 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 27, 2022, Oct 1, 2019, Jul 25, 2019 (3 updates tracked since 2019).

On this page

About Malama Kidney Center, Llc NPPES

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

MALAMA KIDNEY CENTER, LLC (NPI 1699329839) is a healthcare organization registered as a community health in Honolulu, Hawaii and active in the NPI registry since July 2019. The organization lists Gregg Shimomura, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1699329839

Entity TypeOrganization

Primary Taxonomy363LC1500X

Legal Business NameMALAMA KIDNEY CENTER, LLC

Location Address1357 KAPIOLANI BLVD STE 1460Honolulu, HI 96814-4509

Mailing Address1357 Kapiolani Blvd Ste 1460Honolulu, HI 96814-4509 · (808) 942-1852 · Fax (808) 943-8732

Phone(808) 942-1852

Fax(808) 943-8732

Organization SubpartYesParent: Pmag Care, Inc

Authorized OfficialGregg ShimomuraMedical Director · (808) 942-1852

Enumeration DateJuly 25, 2019

Last NPPES UpdateSeptember 27, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2022

✔ NPI 1699329839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Community HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LC1500X

1357 KAPIOLANI BLVD STE 1460, Honolulu, HI 96814

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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Malama Kidney Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Malama Kidney Center, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Ruby Hayasaka, RDN

Registered Dietitian or Nutrition Professional

NPI 1831723071

1357 KAPIOLANI BLVD STE 1460
Honolulu, HI 96814

(808) 942-1852

✔ Accepts MedicareSame address

Anthone Jeon, NP-C

Nurse Practitioner

NPI 1871149948

1357 KAPIOLANI BLVD STE 1460
Honolulu, HI 96814

(808) 942-1852

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Malama Kidney Center, LLC's NPI number?

The NPI number for Malama Kidney Center, LLC is 1699329839. It was assigned to this organization in the NPPES registry on July 25, 2019.

Where is Malama Kidney Center, LLC located?

Malama Kidney Center, LLC is located at 1357 Kapiolani Blvd Ste 1460, Honolulu, HI 96814. The listed phone number is (808) 942-1852.

What is Malama Kidney Center, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

Is Malama Kidney Center, LLC enrolled in Medicare?

Yes. Malama Kidney Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Malama Kidney Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Malama Kidney Center, LLC, in Nurse Practitioner and Registered Dietitian or Nutrition Professional. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Malama Kidney Center, LLC accept?

Health plans from HMSA list Malama Kidney Center, 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 Malama Kidney Center, LLC was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.