Active NPI
Hawaii Cancer Care Inc
- Specialist
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 3621
- Legal business name
- HAWAII CANCER CARE INC
- Practice address
- 500 Ala Moana Blvd Ste 6230
Honolulu, HI 96813-4929 - Phone
- (808) 524-6115
- Fax
- (808) 528-1711
- NPI assigned
- May 10, 2016
- 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
- Jon Fukumoto, MD
- Title
- President
- Phone
- (808) 524-6115
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 3621 | HI | Primary |
Addresses
Primary practice location
500 Ala Moana Blvd Ste 6230
Honolulu, HI 96813-4929
Mailing address
500 Ala Moana Blvd Ste 6230
Honolulu, HI 96813-4929
Phone (808) 524-6115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 12D0662980 | Aop of Hawaii, PA Dba Hawaii Cancer Care Honolulu | Accreditation | May 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
98-1247 Kaahumanu St
Ste 315
Aiea, HI 96701
Phone 8085246115519
98-150 Kaonohi St
Ste B219
Aiea, HI 96701
2226 Liliha St
Bsmt 204
Honolulu, HI 96817
Phone (808) 524-6115
1329 Lusitana St
Ste 307
Honolulu, HI 96813
Phone (808) 524-6115
642 Ulukahiki St
Ste 104
Kailua, HI 96734
Phone (808) 263-3233
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology (Internal Medicine) Physician
- Honolulu, HI
- NPI 1477663284
-
- Nurse Practitioner
- Honolulu, HI
- NPI 1639609068
-
- Hematology & Oncology Physician
- Honolulu, HI
- NPI 1508833971
-
- Nurse Practitioner
- Honolulu, HI
- NPI 1811387442
-
- Hematology & Oncology Physician
- Honolulu, HI
- NPI 1295953123
-
- Hematology & Oncology Physician
- Honolulu, HI
- NPI 1194792119
-
- Nurse Practitioner
- Honolulu, HI
- NPI 1811748239
-
- Registered Dietitian
- Casa Grande, AZ
- NPI 1871951582
-
- Anatomic Pathology & Clinical Pathology Physician
- Fort Myers, FL
- NPI 1134584543
-
- Anatomic Pathology & Clinical Pathology Physician
- Fort Myers, FL
- NPI 1730679820
Single Specialty
-
- Anatomic Pathology & Clinical Pathology Physician
- Fort Myers, FL
- NPI 1033383351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633392000000",
"number": "1033565981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 ALA MOANA BLVD STE 6230",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968134929",
"telephone_number": "808-524-6115",
"fax_number": "808-528-1711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ALA MOANA BLVD STE 6230",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968134929",
"telephone_number": "808-524-6115",
"fax_number": "808-528-1711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAWAII CANCER CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-10",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A",
"authorized_official_last_name": "FUKUMOTO",
"authorized_official_first_name": "JON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-524-6115",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "HI",
"license": "3621",
"primary": true
}
],
"identifiers": [],
"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 Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.