Organization Active NPI

Darrell T Natori MD Inc

  • Primary Care Clinic/Center
  • Honolulu, HI
National Provider Identifier
1093462103
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DARRELL T NATORI MD INC
Practice address
1329 Lusitana St Ste 208
Honolulu, HI 96813-2411
Phone
(808) 521-6622
Fax
(808) 521-6633
NPI assigned
Mar 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Authorized official

Name
Dr. Darrell Tamotsu Natori, MDNPI 1558455303
Title
President
Phone
(808) 521-6622

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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1329 Lusitana St Ste 208
Honolulu, HI 96813-2411

Mailing address

1329 Lusitana St Ste 208
Honolulu, HI 96813-2411
Phone (808) 521-6622

Other identifiers 1

IdentifierTypeStateIssuer
076537MedicaidHI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL dtnatori@gmail.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D0674927Darrell T Natori, MD Inc1329 Lusitana St 208, Honolulu, HI 96813Certificate of waiverMar 9, 2028

National Provider Directory

National Provider Directory

Locations

1329 Lusitana St
Ste 208
Honolulu, HI 96813
Phone (808) 521-6622

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15273/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1093462103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST STE 208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132411",
            "telephone_number": "808-521-6622",
            "fax_number": "808-521-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST STE 208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132411",
            "telephone_number": "808-521-6622",
            "fax_number": "808-521-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRELL T NATORI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "NATORI",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "TAMOTSU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-521-6622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076537",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dtnatori@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1329 Lusitana St Ste 208",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968132411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.