Active NPI
Jason Takemi Ninomiya, M.D.
- Specialist
- Kapolei, HI
National Provider Identifier
1598777575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD13419
- Practice address
- 1001 Kamokila Blvd Ste 193
Kapolei, HI 96707-2014 - Phone
- (808) 693-7300
- Fax
- (808) 693-7301
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MD13419 | HI | Primary |
Addresses
Primary practice location
1001 Kamokila Blvd Ste 193
Kapolei, HI 96707-2014
Mailing address
1001 Kamokila Blvd, Suite 193
Kapolei Building
Kapolei, HI 96707-2014
Phone (808) 693-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 568959 | Medicaid | HI |
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 |
|---|---|---|---|
| MD13419 | HI | MD | Specialist |
Interoperability endpoints
- jason.ninomiya.1@13637.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219363200000",
"number": "1598777575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 KAMOKILA BLVD, SUITE 193",
"address_2": "KAPOLEI BUILDING",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072014",
"telephone_number": "808-693-7300",
"fax_number": "808-693-7301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 KAMOKILA BLVD STE 193",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072014",
"telephone_number": "808-693-7300",
"fax_number": "808-693-7301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NINOMIYA",
"first_name": "JASON",
"middle_name": "TAKEMI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2008-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "HI",
"license": "MD13419",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "568959",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kapolei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.