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KAPAA PEDIATRICS LLC
NPI 1740586957
Pediatrics in Kapaa, HI

Active since February 04, 2011CLIA 12D2016255 · Waiver
4-1461 KUHIO HWY, KAPAA, HI 96746(808) 220-7062(808) 822-0938 Get Directions Write a Review

NPPES record last updated: February 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kapaa Pediatrics Llc NPPES

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

KAPAA PEDIATRICS LLC (NPI 1740586957) is a healthcare organization registered as a pediatrics in Kapaa, Hawaii and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through November 14, 2026 and lists Jesse Tzu Tan Lam, Manager, as its authorized official.

NPPES Registry Identity

NPI1740586957
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKAPAA PEDIATRICS LLC
Location Address4-1461 KUHIO HWYKapaa, HI 96746-1715
Mailing Address4-1461 Kuhio HwyKapaa, HI 96746-1715 · (808) 220-7062 · Fax (808) 822-0938
Phone(808) 220-7062
Fax(808) 822-0938
Organization SubpartNo
Authorized OfficialJesse Tzu Tan LamManager · (808) 220-7062
Enumeration DateFebruary 4, 2011
✔ NPI 1740586957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in HI · 15518✔ Licensed in HI · 15126
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4-1461 KUHIO HWY, Kapaa, HI 96746
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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

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 12D2016255

Kapa'a Pediatrics · Kapaa, HI
Active · expires Nov 14, 2026
CLIA Number12D2016255
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorJesse T. Lam
Laboratory Phone(808) 634-8011
Laboratory LocationKapa'a Pediatrics4-1461 Kuhio Hwy, Kapaa, HI 96746
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

PAUL T ESAKI MD INC
Family Medicine
4-1461 KUHIO HWY
KAPAA, HI 96746
Kauai County (808) 822-4333
SARAH KRISTIN NICHOLSON LAM M.D.
Pediatrics
4-1461 KUHIO HWY
KAPAA, HI 96746
Kauai County (808) 220-7062
ALANA R. GOO-FRAZIER NP-C
Nurse Practitioner (Family)
4-1461 KUHIO HWY
KAPAA, HI 96746
Kauai County (808) 320-4333
MALAMA KINO PRIMARY CARE INC.
Nurse Practitioner (Family)
4-1461 KUHIO HWY
KAPAA, HI 96746
Kauai County (808) 320-4333
SHARON S. AYABE M.D.
Family Medicine
4-1461 KUHIO HWY
KAPAA, HI 96746
Kauai County (808) 822-4333
CHIA S. GRANDA MD, LLC
Clinic/Center (Medical Specialty)
4-1461 KUHIO HWY
KAPAA, HI 96746
Kauai County (808) 386-4860
PAUL T. ESAKI M.D.
Family Medicine
4-1461 KUHIO HWY
KAPAA, HI 96746
Kauai County (808) 822-4333
KAUAI HEALTH & HEALING PARTNERS LLC
Social Worker (Clinical)
4-1461 KUHIO HWY
KAPAA, HI 96746
Kauai County (808) 212-5966

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 Kapaa Pediatrics LLC's NPI number?

The NPI number for Kapaa Pediatrics LLC is 1740586957. It was assigned to this organization in the NPPES registry on February 4, 2011.

Where is Kapaa Pediatrics LLC located?

Kapaa Pediatrics LLC is located at 4-1461 Kuhio Hwy, Kapaa, HI 96746. The listed phone number is (808) 220-7062.

What is Kapaa Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Kapaa Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2016255) is associated with this NPI, valid through November 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kapaa Pediatrics LLC was last updated on February 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.