Aiea Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD14517 Issued in HI

Legal business name

AIEA PEDIATRICS, LLC

Practice address

99-080 Kauhale St
Suite C-22
Aiea, HI 96701-4116

Phone

(808) 487-1600

Fax

(808) 487-1601

NPI assigned

Sep 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Brent Koichi Tamamoto, M.D.NPI 1114123098

Title

Pediatrician

Phone

(808) 754-4212

Specialties & licenses 1

Addresses

Other names 1

• Brent K. Tamamoto, M.D., LLC Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brent Koichi Tamamoto, M.D.

  • Pediatrics Physician
  • Aiea, HI
  • NPI 1114123098

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1407089808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-080 KAUHALE ST",
            "address_2": "SUITE C-22",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014116",
            "telephone_number": "808-487-1600",
            "fax_number": "808-487-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-080 KAUHALE ST",
            "address_2": "SUITE C-22",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014116",
            "telephone_number": "808-487-1600",
            "fax_number": "808-487-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIEA PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "TAMAMOTO",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "KOICHI",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "808-754-4212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MD14517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brent K. Tamamoto, M.D., LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Aiea Internal Medicine Services, L.L.C.
• Aiea Medical Group,LLC
• Aiea Newtown Dental Group, LLC
• Aiea Pediatric Dental Center
• Aiea Pediatric Dental Center
• Maria Lourdes Javier Akagi, APRN
• Cristian Sun Akana
• Leila-Tiare Akana
• Al'S Vinyl Repair Inc.
• Mavis M Alaimalo, PSYD, CSAC

• Pediatrics Physician in Aiea, HI
• Providers in Aiea, HI by specialty
• Pediatrics Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.