Individual provider Active NPI

Jon Shinichi Fujita, M.D.

  • Obstetrics & Gynecology Physician
  • Waipahu, HI
National Provider Identifier
1396793501
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD6060 Issued in HI
Practice address
94-216 Farrington Hwy Ste 322
Waipahu, HI 96797-1923
Phone
(808) 676-5629
Fax
(808) 676-5736
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD6060 HI Primary

Addresses

Primary practice location

94-216 Farrington Hwy Ste 322
Waipahu, HI 96797-1923

Mailing address

94-216 Farrington Hwy Ste 322
Waipahu, HI 96797-1923
Phone (808) 676-5629

Other identifiers 2

IdentifierTypeStateIssuer
52520601MedicaidHI
07768OtherHIHMSA

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
I20120420000528 HI Practitioner - Obstetrics/Gynecology 3779744586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Un of California, Irvine, College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

94-216 Farrington Hwy
Suite 322
Waipahu, HI 96797-1923
Phone (808) 676-5629

99 -128 Aiea Heights Dr
Suite 402
Aiea, HI 96701-3934
Phone (808) 487-8880

Hospital & facility affiliations

  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD6060HIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jon S. Fujita, M.D., Inc. Obstetrics & Gynecology CurrentSince Jun 1, 1996 Accepting new patients
Jan T Fujita MD Inc Obstetrics & Gynecology Past Accepting new patients
Kapiolani Medical Center for Women & Children Past Accepting new patients

Locations

99-128 Aiea Heights Dr
Ste 402
Aiea, HI 96701
Phone (808) 487-8880

94-216 Farrington Hwy
Ste 322
Waipahu, HI 96797
Phone (808) 676-5629

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1396793501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-216 FARRINGTON HWY STE 322",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971923",
            "telephone_number": "808-676-5629",
            "fax_number": "808-676-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-216 FARRINGTON HWY STE 322",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971923",
            "telephone_number": "808-676-5629",
            "fax_number": "808-676-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJITA",
        "first_name": "JON",
        "middle_name": "SHINICHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "MD6060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52520601",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "07768",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.