Mango Foundation, Inc.
Mango Foundation, Inc. is a healthcare organization registered as Multi-Specialty Clinic/Center in Kamuela, HI, holding Type 2 (organization) NPI 1063954634 since 2016. The authorized official on file is Timothy Duerler, Board of Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063954634 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mango Foundation, Inc. |
| Practice address | 64-1032 MAMALAHOA HWY, SUITE 306, Kamuela, HI, 96743 |
| Phone | 8087695010 |
| Enumeration date | 2016-11-14 |
| Last updated in NPPES | 2016-11-14 |
Authorized official
| Name | Timothy Duerler |
|---|---|
| Title | Board of Director |
| Phone | 8083516836 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM1300X | Multi-Specialty Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Mango Foundation, Inc. NPI: 1063954634 Taxonomy: 261QM1300X (Multi-Specialty Clinic/Center) Address: 64-1032 MAMALAHOA HWY, SUITE 306, Kamuela, HI, 96743
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1598777633 | Steven Kaplan | Individual | Pediatrics Physician | Kamuela, HI |
| 1437262300 | Peter Gregg | Individual | Pediatrics Physician | Kamuela, HI |
| 1942312707 | Ban-Nix Home Medical Equipment, Inc. | Organization | Oxygen Equipment & Supplies (DME) | Kamuela, HI |
| 1083796940 | Jennifer Shotwell | Individual | Pediatric Nurse Practitioner | Kamuela, HI |
| 1093908089 | Big Island Optical Inc | Organization | Eyewear Supplier | Kamuela, HI |
| 1902054885 | Brett Ferguson | Individual | Forensic Pathology Physician | Kamuela, HI |
| 1578702007 | Lawrence Derbes MD Inc. | Organization | Interventional Cardiology Physician | Kamuela, HI |
| 1619278280 | Meghan Gallagher | Individual | Pediatric Nurse Practitioner | Kamuela, HI |
Verify this record
Cross-check NPI 1063954634 against the authoritative CMS record: view Mango Foundation, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Mango Foundation, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-11-14.