Active NPI
Yukako Tachibana, M.D.
- Geriatric Medicine (Family Medicine) Physician
- Honolulu, HI
National Provider Identifier
1437371424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- MD15341
- Practice address
- 550 S Beretania St
Suite 601
Honolulu, HI 96813-2414 - Phone
- (808) 691-8877
- Fax
- (808) 691-8875
- NPI assigned
- May 2, 2007
- Last updated
- Jan 23, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | MD15341 | HI | Primary |
Addresses
Primary practice location
550 S Beretania St
Suite 601
Honolulu, HI 96813-2414
Mailing address
550 S Beretania St
Suite 601
Honolulu, HI 96813-2414
Phone (808) 691-8877
Other practice location 1
Unit 5071
Apo, AP 96328-5071
Phone (315) 225-7508
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 |
|---|---|---|---|
| MD15341 | HI | MD | Geriatric Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1437371424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 S BERETANIA ST",
"address_2": "SUITE 601",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132414",
"telephone_number": "808-691-8877",
"fax_number": "808-691-8875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S BERETANIA ST",
"address_2": "SUITE 601",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132414",
"telephone_number": "808-691-8877",
"fax_number": "808-691-8875"
}
],
"practiceLocations": [
{
"address_1": "Unit 5071",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AP",
"postal_code": "963285071",
"country_code": "US",
"telephone_number": "315-225-7508",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "TACHIBANA",
"first_name": "YUKAKO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2023-01-23",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "HI",
"license": "MD15341",
"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 Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.