Individual provider Active NPI

Bradley W. Sakaguchi, M.D.

  • Obstetrics & Gynecology Physician
  • Honolulu, HI
National Provider Identifier
1215031232
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD10052 Issued in HI
Practice address
1010 S King St Ste 604
Honolulu, HI 96814-1707
Phone
(808) 671-5449
Fax
(808) 376-8346
NPI assigned
Sep 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X MD-10052 HI
Obstetrics & Gynecology Physician 207V00000X MD10052 HI Primary

Addresses

Primary practice location

1010 S King St Ste 604
Honolulu, HI 96814-1707

Mailing address

4155 Koko Dr
Honolulu, HI 96816-4324
Phone (808) 341-9424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041216000393 HI Practitioner - Obstetrics/GynecologyPractitioner - General PracticePractitioner - Family Practice 4880651389

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD10052HIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Straub Clinic & Hospital Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1215031232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 KOKO DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164324",
            "telephone_number": "808-341-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S KING ST STE 604",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141707",
            "telephone_number": "808-671-5449",
            "fax_number": "808-376-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKAGUCHI",
        "first_name": "BRADLEY",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "HI",
            "license": "MD-10052",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "MD10052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.