| CASE NUMBER | I-200-24022-656986 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/22/2024 |
| DECISION DATE | 1/29/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Physician, Neonatology |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/22/2024 |
| END DATE | 7/21/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Kapi'olani Medical Specialists |
| TRADE NAME DBA | Hawai'i Pacific Health Medical Group |
| EMPLOYER ADDRESS1 | 55 Merchant Street |
| EMPLOYER ADDRESS2 | Floor 25 |
| EMPLOYER CITY | Honolulu |
| EMPLOYER STATE | HI |
| EMPLOYER POSTAL CODE | 96813 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18085357451 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Hinson |
| EMPLOYER POC FIRST NAME | Carl |
| EMPLOYER POC MIDDLE NAME | W. |
| EMPLOYER POC JOB TITLE | Director, Workforce Development |
| EMPLOYER POC ADDRESS1 | 55 Merchant Street |
| EMPLOYER POC ADDRESS2 | Floor 25 |
| EMPLOYER POC CITY | Honolulu |
| EMPLOYER POC STATE | HI |
| EMPLOYER POC POSTAL CODE | 96813 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18085357566 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | carl.hinson@hawaiipacifichealth.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Hirota |
| AGENT ATTORNEY FIRST NAME | Maile |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 735 Bishop Street |
| AGENT ATTORNEY ADDRESS2 | Suite 402 |
| AGENT ATTORNEY CITY | Honolulu |
| AGENT ATTORNEY STATE | HI |
| AGENT ATTORNEY POSTAL CODE | 96813 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 18085879600 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | maile@hirotaimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Hirota & Associates LLLC |
| STATE OF HIGHEST COURT | HI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1319 Punahou Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Honolulu |
| WORKSITE COUNTY | HONOLULU |
| WORKSITE STATE | HI |
| WORKSITE POSTAL CODE | 96826 |
| WAGE RATE OF PAY FROM | 70512 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $300,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $70,512.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-10-07 |
