Active NPI
Lois Yukiko Matsuoka
- Dermatology Physician
- Honolulu, HI
National Provider Identifier
1396905592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD3510
- Practice address
- 1010 South King Street
Suite 111
Honolulu, HI 96839 - Phone
- (808) 941-5506
- NPI assigned
- Jun 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD3510 | HI | Primary |
Addresses
Primary practice location
1010 South King Street
Suite 111
Honolulu, HI 96839
Mailing address
PO Box 61940
Honolulu, HI 96814
Phone (808) 941-5506
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD3510 | HI | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1396905592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 61940",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96814",
"telephone_number": "808-941-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 SOUTH KING STREET",
"address_2": "SUITE 111",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96839",
"telephone_number": "808-941-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSUOKA",
"first_name": "LOIS",
"middle_name": "YUKIKO",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-11",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "HI",
"license": "MD3510",
"primary": true
}
],
"identifiers": [],
"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 Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.