Individual provider Active NPI

Ronald M Yamaoka, M.D.

  • Neurology Physician
  • Kailua, HI
National Provider Identifier
1174597637
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
H1641 Issued in HI
Practice address
642 Ulukahiki St
Ste 303
Kailua, HI 96734-4400
Phone
(808) 262-0606
Fax
(808) 262-1889
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X H1641 HI Primary

Addresses

Primary practice location

642 Ulukahiki St
Ste 303
Kailua, HI 96734-4400

Mailing address

1437 Mokolea Dr
Kailua, HI 96734-3242
Phone (808) 263-6481

Other identifiers 2

IdentifierTypeStateIssuer
03236101MedicaidHI
H0000BDWGNOtherHIPROVIDER NO. (MEDICARE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1641HIMDCounselor
H1641HIMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174597637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 MOKOLEA DR",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343242",
            "telephone_number": "808-263-6481",
            "fax_number": "808-262-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 ULUKAHIKI ST",
            "address_2": "STE 303",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344400",
            "telephone_number": "808-262-0606",
            "fax_number": "808-262-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAOKA",
        "first_name": "RONALD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "HI",
            "license": "H1641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03236101",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NO. (MEDICARE #",
            "identifier": "H0000BDWGN",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.