Organization Active NPI

Frederick a Harada M D LLC

  • Clinic/Center
  • Honolulu, HI
National Provider Identifier
1467517185
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
11974 Issued in HI
Legal business name
FREDERICK A HARADA M D LLC
Practice address
1380 Lusitana St
Suite 909
Honolulu, HI 96813-2421
Phone
(808) 585-7771
Fax
(808) 585-7774
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Frederick HaradaNPI 1144313875
Title
Owner
Phone
(808) 585-7771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 11974 HI Primary

Addresses

Primary practice location

1380 Lusitana St
Suite 909
Honolulu, HI 96813-2421

Mailing address

1380 Lusitana St Ste 909
Honolulu, HI 96813-2448
Phone (808) 585-7771

Other identifiers 1

IdentifierTypeStateIssuer
10693824OtherHIHAWAII WITHHOLDING ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000879 HI Part B Supplier - Clinic/Group Practice 2668360595 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

1380 Lusitana St
Ste 909
Honolulu, HI 96813
Phone (808) 585-7771

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1467517185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST STE 909",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132448",
            "telephone_number": "808-585-7771",
            "fax_number": "808-585-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 909",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132421",
            "telephone_number": "808-585-7771",
            "fax_number": "808-585-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK A HARADA M D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "HARADA",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-585-7771"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "HI",
            "license": "11974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII WITHHOLDING ID",
            "identifier": "10693824",
            "state": "HI"
        }
    ],
    "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 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.