Active NPI
Randal K. Yanagisawa, MD
- Obstetrics & Gynecology Physician
- Waipahu, HI
National Provider Identifier
1386736775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD-7028
- Practice address
- 94-1480 Moaniani St
Waipahu, HI 96797-4632 - Phone
- (808) 432-3100
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD-7028 | HI | Primary |
Addresses
Primary practice location
94-1480 Moaniani St
Waipahu, HI 96797-4632
Mailing address
94-1480 Moaniani St
Waipahu, HI 96797-4632
Phone (808) 432-3100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000095315 | Other | HI | HMSA BILLING NUMBER |
| 073336-02 | Medicaid | HI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-7028 | HI | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1386736775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-1480 MOANIANI ST",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967974632",
"telephone_number": "808-432-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-1480 MOANIANI ST",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967974632",
"telephone_number": "808-432-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANAGISAWA",
"first_name": "RANDAL",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "HI",
"license": "MD-7028",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA BILLING NUMBER",
"identifier": "0000095315",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "073336-02",
"state": "HI"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "94-1480 Moaniani St",
"city": "Waipahu",
"state": "HI",
"country_code": "US",
"postal_code": "967974632",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.