ALA MOANA WALK-IN CLINIC
NPI 1871157628
Nurse Practitioner in Honolulu, HI

Q: What is Ala Moana Walk-In Medical Clinic, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since April 26, 2019CLIA 12D2237151 · Waiver

410 ATKINSON DR., LEVEL 3, HONOLULU, HI 96814(808) 498-7913(808) 748-0302 Get Directions Write a Review

NPPES record last updated: July 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2020, Jun 2, 2020, Oct 16, 2019 and 1 more (4 updates tracked since 2019).

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About Ala Moana Walk-in Clinic NPPES

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

ALA MOANA WALK-IN CLINIC (NPI 1871157628) is a healthcare organization registered as a nurse practitioner in Honolulu, Hawaii and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through September 21, 2027, maintains a secondary practice location in Honolulu, and lists Jae Hwan Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1871157628

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameALA MOANA WALK-IN MEDICAL CLINIC, INC

Location Address410 ATKINSON DR., LEVEL 3Honolulu, HI 96814

Mailing Address3033 Ala Ilima St Apt 402Honolulu, HI 96818-2762 · (808) 256-1250

Phone(808) 498-7913

Fax(808) 748-0302

Organization SubpartNo

Authorized OfficialJae Hwan KimOwner · (808) 498-7913

Enumeration DateApril 26, 2019

Last NPPES UpdateJuly 11, 20204 updates tracked since enumeration

NPPES CertifiedJuly 11, 2020

✔ NPI 1871157628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

410 ATKINSON DR., Honolulu, HI 96814

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Other Names 1

Other NameAla Moana Walk-in Clinic

Secondary Practice Location 1

Location 1825 Keeaumoku St Ste 113Honolulu, HI 96814-2317 · Phone (808) 498-7913 · Fax (808) 748-0302

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 SINGLE 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 12D2237151

Ala Moana Walk-In Medical Clinic · Honolulu, HI

Active · expires Sep 21, 2027

CLIA Number12D2237151

Laboratory TypeClinic

Certificate Effective DateSeptember 22, 2025

Certificate Expiration DateSeptember 21, 2027

Laboratory DirectorJae Hwan Kim

Laboratory Phone(808) 498-7913

Laboratory LocationAla Moana Walk-In Medical Clinic1441 Kapiolani Blvd Suite 420, Honolulu, HI 96814

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

TLC WELLNESS HAWAII, LLC

Nursing Care

410 ATKINSON DR., STE 462
HONOLULU, HI 96814

Honolulu County (808) 200-1776

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 Ala Moana Walk-In Medical Clinic, Inc's NPI number?

The NPI number for Ala Moana Walk-In Medical Clinic, Inc is 1871157628. It was assigned to this organization in the NPPES registry on April 26, 2019. The provider is also known as Ala Moana Walk-In Clinic.

Where is Ala Moana Walk-In Medical Clinic, Inc located?

Ala Moana Walk-In Medical Clinic, Inc is located at 410 Atkinson Dr. Level 3, Honolulu, HI 96814. The listed phone number is (808) 498-7913.

What is Ala Moana Walk-In Medical Clinic, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Ala Moana Walk-In Medical Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2237151) is associated with this NPI, valid through September 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ala Moana Walk-In Medical Clinic, Inc accept?

Health plans from HMSA list Ala Moana Walk-In Medical Clinic, Inc 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 Ala Moana Walk-In Medical Clinic, Inc was last updated on July 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.