Ambulatory Surgery Centers (Freestanding Surgical Outpatient Facilities)

FACILITYMEDICARELOCATION
ALI’I AMBULATORY SURGERY CENTER

75-5905 Walua Road, Suite 4
Kailua-Kona, Hawaii 96740
Ph: (808) 331-7979 Fax: (808) 331-0152

Dennis Tognoli BSN, RN
Administrator
License No: FSOF 18
CCN: 12C0001102
Exp. 12/31/26
XKAILUA-KONA
ALOHA EYE CLINIC SURGICAL CENTER, LLC 

450 Ho’okahi Street
Wailuku, Hawaii  96793
Ph. (808) 877-3984   Fax: (808) 871-6498

Jivin G. Tantisira, M.D.
Medical Director
License No. FSOF-25
Exp. 2/28/26
 XMAUI
ALOHA SURGICAL CENTER

239 Hoohana Street
Kahului, Hawaii  96732
Ph. (808) 893-0578    Fax: (808) 893-0580

Christopher Parsley, MSN
CEO/Administrator (Hawaii)
CCN: 12C0001009
License No. FSOF-11
Exp. 7/31/25
XMAUI
ASIA PACIFIC SURGERY, LLC

1330 Ala Moana Blvd., Unit 9
Honolulu, Hawaii  96814
Ph. (808) 537-9375    Fax: (808) 537-9426

Nicole Navarro, RN, BSN
Administrator
CCN: 12C0001020
License No. FSOF-20
Exp. 11/30/26
XOAHU
BIG ISLAND ENDOSCOPY CENTER, LLC

64-5188 Kinohou Street
Kamuela, Hawaii  96743
Ph. (808) 887-0600    Fax: (808) 887-6699

Aulii Delenia
Administrator
CCN: 12C0001013
License No. FSOF-14
Exp. 3/31/26

X


HAWAII
CATARACT and VISION CENTER OF HAWAII

1712 Liliha Street, Suite 400
Honolulu, Hawaii  96817
Ph: (808) 524-1010    Fax: (808) 531-1030

Worldster Lee, M.D.
Administrator
CCN: 12C0001006
License No. FSOF-1
Exp. 7/31/26

X


OAHU
ENDOSCOPY INSTITUTE OF HAWAII

1401 South Beretania Street, Ste 200
Honolulu, Hawaii 96814
Ph: (808) 312-6700   Fax: (808) 312-6701

Kammi Jacang
Administrator- Hawaii
CCN: 12C0001021
License No. FSOF-21
Exp. 3/31/27

X


OAHU
EYE SURGERY CENTER OF HAWAII

650 Iwilei Road, Space #225
Honolulu, Hawaii  96817
Ph: (808) 356-4300    Fax:(808) 356-4301

Douglas Tonokawa
Administrator
CCN: 12C00001021
License No. FSOF-19
Exp. 12/31/26
 OAHU
HAWAII ENDOSCOPY CENTERS, L.L.C.

2226 Liliha Street, Suite 307
Honolulu, Hawaii  96817
Ph: (808) 531-5823    Fax: (808) 531-5819

Trisha Pereira, RN
Center Manager
CCN: 12C0001011
License No. FSOF-13
Exp. 8/31/25
XOAHU
HAWAII VISION SURGICAL SUITES LLC

392 Kapiolani Street
Hilo, Hawaii 96720
Ph: (808) 333-3233

Kaulana Vickers
Administrator
CCN: 12C0001026
License No. FSOF-2
Exp. 11/30/25
XHAWAII
HAWAIIAN EYE CENTER

606 Kilani Avenue
Wahiawa, Hawaii 96786
Ph: (808) 621-3111    Fax: (808) 621-2082

Margarita Raqueno
Administrator
CCN: 12C0001000
License No. FSOF-3
Exp. 04/30/27
XOAHU
HILO COMMUNITY SURGERY CENTER

82 Pu’uhonu Place, Suite 100
Hilo, Hawaii 96720
Ph: (808) 969-9669    Fax: (808) 969-9608

Della-Marie Shirota
Administrator
CCN: 12C0001010
License No. FSOF-12
Exp. 6/30/25
XHAWAII
HONOLULU SPORTS & SPINE SURGERY CENTER

500 Ala Moana Boulevard, Building 1, Suite 301
Honolulu, Hawaii 96813
Ph: (808) 237-2970    Fax: (808) 237-2971

Chelsea Arakawa
Administrator
CCN: 12C0001015
License No. FSOF-16
Exp. 9/30/25
XOAHU
KAISER PERMANENTE MAPUNAPUNA CLINIC – ASC

2828 Pa’a Street
Honolulu, Hawaii 96819
Ph: (808) 432-5738    Fax: (808) 432-5730

Guy Phipps
Administrator
CCN: 12C0001012
License No. FSOF-8
Exp. 9/30/26
XOAHU
KAISER WAILUKU CLINIC ASC

80 Mahalani Street
Wailuku, Hawaii 96793
Ph: (808) 243-6000    Fax: (808) 243-6090

Amanda Rodriguez, BA, MBA
Administrator
CCN: 12C0001100
License No. FSOF-10
Exp. 11/30/26
XMAUI
MINIMALLY INVASIVE SURGERY OF HAWAII

1401 South Beretania Street, Suite 600
Honolulu, Hawaii 96814
Ph: (808) 356-5682     Fax: (808) 356-5630

Jay Marumoto, M.D.
Administrator
CCN: 12C0001023
License No. FSOF-23
Exp. 1/31/27
XOAHU
OHANA ENDOSCOPY

590 Farrington Highway, Unit 170
Kapolei, Hawaii 96707
Ph: (808) 468-4600 Fax: (808) 427-6051

Kehau Dela Pina
Administrator
CCN: 12C0001101
License No. FSOF-26
Exp. 2/28/27
PACIFIC ENDOSCOPY CENTER, LLC

1029 Makolu Street, Suite H
Pearl City, Hawaii  96782
Ph: (808) 456-6420    Fax: (808) 456-6421

Kammi Jacang
Interim Site Administrator
CCN: 12C0001016
License No. FSOF-15
Exp. 8/31/26
XOAHU
SURGERY CENTER OF THE PACIFIC, LLC

1401 S. Beretania Street, Suite 420
Honolulu, Hawaii 96814
Ph: (808) 637-4442   Fax: (808) 637-7711

Hugo Higa, M.D.
Medical Director
CCN: 12C0001024
License No. FSOF-24
Exp. 2/28/27
X OAHU
SURGICAL SPECIALTIES, LLC

1329 Lusitana Street, Suite 401
Honolulu, Hawaii 96813
Ph: (808) 777-4172   Fax: (808) 599-7780

Tim Roytman, M.D.
Administrator
CCN: 12C0001022
License No. FSOF-22
Exp. 4/30/26
XOAHU
SURGICARE OF HAWAII

500 Ala Moana Boulevard
Tower 1, Suite 1B
Honolulu, Hawaii 96813
Ph: (808) 528-2511    Fax: (808) 526-0651

Brandy Kirstein
Administrator
CCN: 12C0001003
License No. FSOF-6
Exp. 7/31/25
XOAHU
THE ENDOSCOPY CENTER

134 Puuhonu Way
Hilo, Hawaii 96720
Ph: (808) 969-3979    Fax:(808) 935-7657

Crystal Pesanka, RN
Center Manager
CCN: 12C0001008
License No. FSOF-9
Exp. 04/30/27
XHAWAII
THE FERGUSON CLINIC

677 Ala Moana Blvd., Suite 1011
Honolulu, Hawaii 96813
Ph: (808) 521-1999 Fax: (808) 500-0071

John Ferguson
Administrator
License No. FSOF-4
Exp. 4/30/26
OAHU
THE SURGICAL SUITES, LLC

1100 Ward Avenue, Suite 1001
Honolulu, Hawaii 96814
Ph: (808) 531-0127    Fax: (808) 599-4818

Gary Kurth
Administrator
CCN: 12C0001004
License No. FSOF-5
Exp. 03/31/2027
XOAHU
THE SURGICAL SUITES OF HONOLULU

1401 S. Beretania Ave., STE 890
Honolulu, Hawaii 96814
Ph: (808) 206-5301

Jerald Garcia, MD
President
License No. FSOF-7
Exp. 02/28/27
OAHU
WINDWARD SURGERY CENTER

642 Ulukahiki Street, Suite 200
Kailua, Hawaii  96734
Ph. (808) 218-6850   Fax: (808) 218-6872

Christopher Parsley
CEO/Administrator
CCN: 12C0001017
License No. FSOF-17
Exp. 11/30/26
XOAHU

OHCA/MEDICARE  04/25/25 ms