OrganizationActive
Latitude 19 Medical Inc.
NPI 1669841458 · Clinic/Center · Kailua Kona, HI
Provider details
- NPI number
- 1669841458
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Russell Parker, President(719) 237-0590
- License
- DOS-685 (HI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
75-5591 Palani Rd
Kailua Kona, HI 96740-3631
Phone: (808) 640-3460
Street-level locationGet directions
Mailing address
75-5737 Kuakini Hwy Ste 202
Kailua Kona, HI 96740-1725
Registry dates
- Enumerated
- 2015-09-22
- Last updated
- 2015-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.