Malama Imaging LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

6492 Issued in HI

Legal business name

MALAMA IMAGING LLC

Practice address

1401 S Beretania St
Suite 310
Honolulu, HI 96814-1870

Phone

(808) 524-4055

NPI assigned

May 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Raydeen M Fujimoto-Busse, MDNPI 1518941632

Title

Owner

Phone

(808) 524-4055

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 2

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

• Raydeen Fujimoto-Busse, MD

  • Obstetrics & Gynecology Physician
  • Honolulu, HI
  • NPI 1518941632
  Medicare reassignment Care Compare group NPD Authorized official
• Chrystie Kimie Fujimoto, M.D.

  • Obstetrics & Gynecology Physician
  • Honolulu, HI
  • NPI 1144426909
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1487914347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST",
            "address_2": "SUITE 310",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141870",
            "telephone_number": "808-524-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST",
            "address_2": "SUITE 310",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141870",
            "telephone_number": "808-524-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALAMA IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "FUJIMOTO-BUSSE",
        "authorized_official_first_name": "RAYDEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-524-4055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "HI",
            "license": "6492",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "HI",
            "license": "15081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robertbryan Malaca
• Brian Malaga Larrain Sr.
• Malama Adult Day Care LLC
• Malama Counseling Services LLC
• Malama Dermatology, LLC
• Malama Kidney Center, LLC
• Malama Maikai Health and Wellness Alliance LLC
• Malama Ohana Nursing and Rehab Center
• Malama Ola Health Services LLC
• Malama Ola Health Services LLC

• Medical Specialty Clinic/Center in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Medical Specialty Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.