Organization Active NPI

Glenn S. Yonemura, MD Inc

  • Clinic/Center
  • Honolulu, HI
National Provider Identifier
1306247937
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5308 Issued in HI
Legal business name
GLENN S. YONEMURA, MD INC
Practice address
3221 Waialae Ave Ste 382
Honolulu, HI 96816-5845
Phone
(808) 735-3764
Fax
(808) 732-9463
NPI assigned
Sep 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Glenn Satoru Yonemura, MD
Title
President
Phone
(808) 735-3764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 5308 HI Primary

Addresses

Primary practice location

3221 Waialae Ave Ste 382
Honolulu, HI 96816-5845

Mailing address

3221 Waialae Ave Ste 382
Honolulu, HI 96816-5845
Phone (808) 735-3764

Other identifiers 1

IdentifierTypeStateIssuer
0237260-1MedicaidHI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1306247937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 WAIALAE AVE STE 382",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165845",
            "telephone_number": "808-735-3764",
            "fax_number": "808-732-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 WAIALAE AVE STE 382",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165845",
            "telephone_number": "808-735-3764",
            "fax_number": "808-732-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN S. YONEMURA, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "YONEMURA",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "SATORU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-735-3764",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "HI",
            "license": "5308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0237260-1",
            "state": "HI"
        }
    ],
    "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 Sep 15, 2014; 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.