Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dicmoore Derick John Domingo

Individual provider Case Manager/Care Coordinator · NPI 1255144697

Dicmoore Derick John Domingo is a Case Manager/Care Coordinator in Kahului, Hawaii. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 330026
Kahului, HI 96733-0026
Phone: (808) 542-8035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 131 Anamuli St, Kahului, HI 96732-4501 — (808) 542-8035

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1255144697
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 29, 2025
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025
Mailing addressPo Box 330026, Kahului, HI 96733-0026

Other providers in Kahului