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CASTLE PRIMARY CARE OF KAILUA
NPI 1710336011
Clinic/Center in Kailua, HI

Active since June 07, 2016CLIA 12D2106176 · Waiver
30 AULIKE ST, SUITE 501, KAILUA, HI 96734(808) 263-5015 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Castle Primary Care Of Kailua NPPES

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

CASTLE PRIMARY CARE OF KAILUA (NPI 1710336011) is a healthcare organization registered as a clinic/center in Kailua, Hawaii and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Nicolas Johnson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1710336011
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCASTLE MEDICAL CENTER
Location Address30 AULIKE ST, SUITE 501Kailua, HI 96734-2739
Mailing Address640 Ulukahiki StKailua, HI 96734-4454
Phone(808) 263-5015
Organization SubpartYes
Authorized OfficialNicolas JohnsonCfo · (808) 263-5142
Enumeration DateJune 7, 2016
Last NPPES UpdateApril 6, 2023
NPPES CertifiedApril 6, 2023
✔ NPI 1710336011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedInternal MedicineTaxonomy 207R00000X
30 AULIKE ST, Kailua, HI 96734
Open in Google Maps ↗

Other Names 1

Doing Business AsCastle Primary Care Of Kailua

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 12D2106176

Castle Primary Care Of Kailua · Kailua, HI
Active · expires Feb 23, 2028
CLIA Number12D2106176
Laboratory TypeClinic
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorAngela Simmons
Laboratory Phone(808) 263-5148
Laboratory LocationCastle Primary Care Of Kailua30 Aulike St Suite 300, Kailua, HI 96734
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MICHAEL W RUFINO RPT
Physical Therapist
30 AULIKE ST, KAILUA PROFESSIONAL CENTER, SUITE 201
KAILUA, HI 96734
Honolulu County (808) 230-2359
CASTLE PHYSICIAN NETWORK
Internal Medicine
30 AULIKE ST
KAILUA, HI 96734
Honolulu County (808) 263-5011
LEONARDA DEGUZMAN
Social Worker
30 AULIKE ST, S-203
KAILUA, HI 96734
Honolulu County (808) 266-9937
HAWAII PHYSICIANS & SURGEONS ASSOCIATION INC
Specialist
30 AULIKE ST, SUITE 601
KAILUA, HI 96734
Honolulu County (828) 262-6951
MR. HOWARD I KELLER MD
Internal Medicine
30 AULIKE ST, SUITE 601
KAILUA, HI 96734
Honolulu County (808) 262-6951
ISLAND DENTISTRY, INC.
Dentist (General Practice)
30 AULIKE ST, SUITE 503
KAILUA, HI 96734
Honolulu County (808) 384-4579
LOUIS A DAVANZO MD
Ophthalmology
30 AULIKE ST, STE 301
KAILUA, HI 96734
Honolulu County (808) 262-5113
DR. GERALD M MATSUDA
Optometrist
30 AULIKE ST, SUITE 102
KAILUA, HI 96734
Honolulu County (808) 262-8107

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 Castle Medical Center's NPI number?

The NPI number for Castle Medical Center is 1710336011. It was assigned to this organization in the NPPES registry on June 7, 2016. The provider is doing business as Castle Primary Care Of Kailua.

Where is Castle Medical Center located?

Castle Medical Center is located at 30 Aulike St Suite 501, Kailua, HI 96734. The listed phone number is (808) 263-5015.

What is Castle Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Castle Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2106176) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Castle Medical Center accept?

Health plans from HMSA list Castle Medical Center 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 Castle Medical Center was last updated on April 6, 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.