Randall J. Nitta, MD, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9319 Issued in HI

Legal business name

RANDALL J. NITTA, MD, LLC

Practice address

98-1247 Kaahumanu St Ste 306
Aiea, HI 96701-5301

Phone

(808) 484-2904

Fax

(808) 484-2864

NPI assigned

Aug 21, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Randall Jiro Nitta, MDNPI 1588757066

Title

Member

Phone

(808) 260-4404

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Randall Jiro Nitta, M.D.

  • Family Medicine Physician
  • Aiea, HI
  • NPI 1588757066
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1134553597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST STE 306",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015301",
            "telephone_number": "808-260-4404",
            "fax_number": "808-484-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST STE 306",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015301",
            "telephone_number": "808-484-2904",
            "fax_number": "808-484-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL J. NITTA, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "NITTA",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "JIRO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-260-4404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "9319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Phillip Salviejo Ramos, PT, DPT
• Gizel Ramos
• Kali Ramos
• Mikeila Ramseyer
• Randal D. Morita, D.D.S., Inc.
• Range of Motion Inc
• Kathleen Sealana Ranola, MD
• Paige Raping
• Charles Ray
• Amy Beth Victoria Raynard

• Family Medicine Physician in Aiea, HI
• Providers in Aiea, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.

Verify at the official NPI Registry.