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PANIOLO PEDIATRICS LLC
NPI 1790162980
Clinic/Center - Primary Care in Kamuela, HI

Active since April 27, 2015CLIA 12D2097582 · Waiver
64-1032 MAMALAHOA HWY STE 204, KAMUELA, HI 96743(808) 887-6543(808) 887-6294 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paniolo Pediatrics Llc NPPES

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

PANIOLO PEDIATRICS LLC (NPI 1790162980) is a healthcare organization registered as a primary care in Kamuela, Hawaii and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through June 17, 2027 and lists Brett Colin Ferguson, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1790162980
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePANIOLO PEDIATRICS LLC
Location Address64-1032 MAMALAHOA HWY STE 204Kamuela, HI 96743-8441
Mailing AddressPo Box 6149Kamuela, HI 96743-6149 · (808) 887-6543
Phone(808) 887-6543
Fax(808) 887-6294
Organization SubpartNo
Authorized OfficialBrett Colin FergusonSole Member · (808) 887-6543
Enumeration DateApril 27, 2015
✔ NPI 1790162980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in HI · MD16732
64-1032 MAMALAHOA HWY STE 204, Kamuela, HI 96743
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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 12D2097582

Paniolo Pediatric And Family Medicine, Inc · Kamuela, HI
Active · expires Jun 17, 2027
CLIA Number12D2097582
Laboratory TypePhysician Office
Certificate Effective DateJune 18, 2025
Certificate Expiration DateJune 17, 2027
Laboratory DirectorDr. Azriel Dror
Laboratory Phone(808) 887-6543
Laboratory LocationPaniolo Pediatric And Family Medicine, Inc64-1032 Mamalahoa Hwy, Suite 204, Kamuela, HI 96743
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

PANIOLO COUNTRY PEDIATRICS LLC
Pediatrics
64-1032 MAMALAHOA HWY STE 204
KAMUELA, HI 96743
Hawaii County (808) 887-6543
PANIOLO PEDIATRIC AND FAMILY MEDICINE INC
Pediatrics
64-1032 MAMALAHOA HWY STE 204
KAMUELA, HI 96743
Hawaii County (808) 887-6543
NEEVA LEMMEL-DUERR APRN
Nurse Practitioner (Pediatrics)
64-1032 MAMALAHOA HWY STE 204
KAMUELA, HI 96743
Hawaii County (808) 887-6543
DR. NATALIE MUN-YEE CHIN MD
Pediatrics
64-1032 MAMALAHOA HWY STE 204
KAMUELA, HI 96743
Hawaii County (808) 887-6543
AMBER LYNN BHAMRA APN
Nurse Practitioner (Family)
64-1032 MAMALAHOA HWY STE 204
KAMUELA, HI 96743
Hawaii County (808) 887-6543

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 Paniolo Pediatrics LLC's NPI number?

The NPI number for Paniolo Pediatrics LLC is 1790162980. It was assigned to this organization in the NPPES registry on April 27, 2015.

Where is Paniolo Pediatrics LLC located?

Paniolo Pediatrics LLC is located at 64-1032 Mamalahoa Hwy Ste 204, Kamuela, HI 96743. The listed phone number is (808) 887-6543.

What is Paniolo Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Paniolo Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2097582) is associated with this NPI, valid through June 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Paniolo Pediatrics LLC was last updated on April 27, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.