Organization Active NPI

Soma Clinic LLC

  • Family Medicine Physician
  • Honolulu, HI
National Provider Identifier
1194415935
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOMA CLINIC LLC
Practice address
2155 Kalakaua Ave Ste 112
Honolulu, HI 96815-2354
Phone
(808) 358-2182
Fax
(808) 900-5797
NPI assigned
May 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Dr. Yoichi Soma, MDNPI 1497809032
Title
Member
Phone
(808) 722-4135

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

2155 Kalakaua Ave Ste 112
Honolulu, HI 96815-2354

Mailing address

2155 Kalakaua Ave Ste 112
Honolulu, HI 96815-2354
Phone (808) 358-2182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240724000492 HI Part B Supplier - Clinic/Group Practice 4789120940 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

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
12D2236001Soma Clinic2155 Kalakaua Avenue, Suite 319, Honolulu, HI 96815Certificate of waiverSep 13, 2027

National Provider Directory

National Provider Directory

Locations

2155 Kalakaua Ave
Ste 112
Honolulu, HI 96815
Phone (808) 358-2182

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": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1194415935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 KALAKAUA AVE STE 112",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968152354",
            "telephone_number": "808-358-2182",
            "fax_number": "808-900-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 KALAKAUA AVE STE 112",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968152354",
            "telephone_number": "808-358-2182",
            "fax_number": "808-900-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "SOMA",
        "authorized_official_first_name": "YOICHI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-722-4135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 12, 2023; 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.