Osamu Fukuyama MD Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD-4346 Issued in HI

Legal business name

OSAMU FUKUYAMA MD INC

Doing business as

The Cardiology Clinic

Practice address

321 N Kuakini St
#504
Honolulu, HI 96817-2364

Phone

(808) 538-1125

Fax

(808) 599-4245

NPI assigned

Nov 28, 2011

Last updated

Nov 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Osamu Fukuyama, M.D.NPI 1104978154

Title

President

Phone

(808) 538-1125

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Cardiology Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Tax ID family

Osamu Fukuyama MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Osamu Fukuyama, M.D., Inc.

  • Cardiovascular Disease Physician
  • Honolulu, HI
  • NPI 1205080108
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Osamu Fukuyama, M.D.

  • Cardiovascular Disease Physician
  • Honolulu, HI
  • NPI 1104978154
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1205103769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "address_2": "#504",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172364",
            "telephone_number": "808-538-1125",
            "fax_number": "808-599-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "address_2": "#504",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172364",
            "telephone_number": "808-538-1125",
            "fax_number": "808-599-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSAMU FUKUYAMA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "FUKUYAMA",
        "authorized_official_first_name": "OSAMU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-538-1125",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "HI",
            "license": "MD-4346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOCAL BCBS (HMSA) PROVIDER NO.",
            "identifier": "1096-7",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01053701",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Cardiology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meah Ortiz
• Michael Anthony Ortiz
• Paloma Ortiz
• Rey Yenko Ortiz, CRNA
• Mio P Osaki, NP
• Osamu Fukuyama, M.D., Inc.
• Tyler Chase Osborn, MAT
• Jenny Caraang Fontanilla Osborne, RBT
• Kevin Osborne
• Nicholas Osborne

• Cardiovascular Disease Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Cardiovascular Disease Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.