Active NPI
Raymond K. Itagaki, M.D., Inc.
- Cardiovascular Disease Physician
- Honolulu, HI
National Provider Identifier
1013038025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD3847
- Legal business name
- RAYMOND K. ITAGAKI, M.D., INC.
- Practice address
- 1329 Lusitana St
Suite 609
Honolulu, HI 96813-2429 - Phone
- (808) 531-5448
- Fax
- (808) 523-5418
- NPI assigned
- Apr 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Connie Itagaki
- Title
- Office Manager
- Phone
- (808) 531-5448
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD3847 | HI | Primary |
Addresses
Primary practice location
1329 Lusitana St
Suite 609
Honolulu, HI 96813-2429
Mailing address
1329 Lusitana St
Suite 609
Honolulu, HI 96813-2429
Phone (808) 531-5448
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04517601 | Medicaid | HI | |
| A51381 | Other | HI | HMSA PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryLocations
1329 Lusitana St
Ste 609
Honolulu, HI 96813
Phone (808) 521-0100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013038025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 LUSITANA ST",
"address_2": "SUITE 609",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132429",
"telephone_number": "808-531-5448",
"fax_number": "808-523-5418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 LUSITANA ST",
"address_2": "SUITE 609",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132429",
"telephone_number": "808-531-5448",
"fax_number": "808-523-5418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYMOND K. ITAGAKI, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ITAGAKI",
"authorized_official_first_name": "CONNIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "808-531-5448",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "HI",
"license": "MD3847",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04517601",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA PROVIDER NUMBER",
"identifier": "A51381",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.