Ryan Wada, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA22150 Issued in CA

Practice address

2829 Ala Kalanikaumaka St.
Ste. B201
Koloa, HI 96756

Phone

(808) 742-0999

Fax

(808) 240-5576

NPI assigned

Feb 28, 2012

Last updated

Jun 26, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samuel Mahelona Memorial HospitalGroup PAC ID 1759271216, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Samuel Mahelona Memorial Hospital Hospital, Kapaa, HI, CCN 121306

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Samuel Mahelona Memorial Hospital

  • Specialist
  • Kapa'a, HI
  • NPI 1346419553
  Medicare reassignment Care Compare group
• Kauai Veterans Memorial Hospital

  • Critical Access Hospital
  • Waimea, HI
  • NPI 1467510743
  Medicare reassignment
• Kauai Veterans Memorial Hospital

  • Specialist
  • Waimea, HI
  • NPI 1467620328
  NPD
• Samuel Mahelona Memorial Hospital

  • Psychiatric Hospital Unit
  • Kapa'a, HI
  • NPI 1255406575
  NPD
• Samuel Mahelona Memorial Hospital

  dba HHSC - Kauai Region Clinics The Clinic at Kapaa

  • Rural Health Clinic/Center
  • Kapa'a, HI
  • NPI 1508452756
  NPD
• Samuel Mahelona Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Kapa'a, HI
  • NPI 1508927427
  NPD (past)
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • Colton, CA
  • NPI 1306899166
  NPD (past)
• Grossmont Emergency Medical Group

  • Emergency Medicine Physician
  • La Mesa, CA
  • NPI 1861437501
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Samuel Mahelona Memorial Hospital

  • Critical Access Hospital
  • Kapa'a, HI
  • NPI 1619038536
  Care Compare affiliation

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1225302995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 337",
            "city": "WAIMEA",
            "state": "HI",
            "postal_code": "967960337",
            "telephone_number": "808-240-2723",
            "fax_number": "808-240-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 ALA KALANIKAUMAKA ST.",
            "address_2": "STE. B201",
            "city": "KOLOA",
            "state": "HI",
            "postal_code": "96756",
            "telephone_number": "808-742-0999",
            "fax_number": "808-240-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADA",
        "first_name": "RYAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-28",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA22150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayne Tokita
• Ayae T Tueller
• Mary Frances Tyson-Marchino, MFT, CSAC, RPT
• Kyle Sensuke Ueunten, DC
• Vincent Garrett Valente, MFT
• Noha Azmy Zaki Yakoub
• Margaret H Yu, DR.

• Physician Assistant in Koloa, HI
• Providers in Koloa, HI by specialty
• Physician Assistant in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.