Ken Alan Nakasone, M.D.
Individual provider Active NPI Specialist · Honolulu, HI
NPI 1508929431 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508929431
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- MD3812 (HI)
- Practice address
- 1329 Lusitana St Ste B2
Honolulu, HI 96813-2401 - Phone
- (808) 599-4200
- Fax
- (808) 599-4300
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD3812 | HI | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Ventures, Inc. | Past | Accepting new patients |
Interoperability endpoints
- ken.nakasone@28344412078084.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD3812 | HI | Yes |
Addresses
Primary practice location
1329 Lusitana St Ste B2
Honolulu, HI 96813-2401
Mailing address
1329 Lusitana St Ste B2
Honolulu, HI 96813-2401
Phone (808) 599-4200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52290 | Other | HI | HMSA |
| 04605602 | Medicaid | HI | |
| 8997168 | Other | HI | UNITED HEALTHCARE |
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.