Individual provider Active NPI

Tiffany Takushi

  • Family Nurse Practitioner
  • Aiea, HI
National Provider Identifier
1073940979
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN1620 Issued in HI
Practice address
98-1005 Moanalua Rd
#400
Aiea, HI 96701-4777
Phone
(866) 389-2727
NPI assigned
Oct 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN1620 HI Primary

Addresses

Primary practice location

98-1005 Moanalua Rd
#400
Aiea, HI 96701-4777

Mailing address

98-1005 Moanalua Rd
#400
Aiea, HI 96701-4777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140121000255 HI Practitioner - Nurse Practitioner 0143458190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Hawaii, LLCGroup PAC ID 6507092863, 28 clinicians

Practice addresses (Care Compare)

98 -1005 Moanalua Rd
Aiea, HI 96701-4777
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
85.68 of 100Reported as group
Quality
76.52
Improvement activities
40
Cost
95.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN1620HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family CurrentSince Sep 16, 2025 Accepting new patients
Minuteclinic Diagnostic of Hawaii, L.L.C. Family CurrentSince Nov 27, 2013 Accepting new patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince Sep 16, 2025 Accepting new patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Family CurrentSince Sep 16, 2025 Accepting new patients

Locations

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

511 N Hollywood Way
Burbank, CA 91505
Phone (818) 841-0710

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

14330 Culver Dr
Irvine, CA 92604
Phone (949) 559-8129

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3154

98-1005 Moanalua Rd
Spc 400
Aiea, HI 96701
Phone (808) 488-0958

98-1005 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4500

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1073940979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD",
            "address_2": "#400",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD",
            "address_2": "#400",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014777",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKUSHI",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-09",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN1620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.