Ktamura MD Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

KTAMURA MD INC

Practice address

85 Maui Lani Parkway
Wailuku, HI 96793-2416

Phone

(530) 241-1473

Fax

(808) 442-5701

NPI assigned

Jul 17, 2019

Organization subpart

Yes

Parent organization

KTAMURA MD INCAs reported in NPPES

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

Authorized official

Name

Kristen Tamura, MDNPI 1356502553

Title

President

Phone

(530) 241-1473

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Part of

Ktamura MD Inc

Practitioners 1

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

• Kristen P Tamura, M.D.

  • Nephrology Physician
  • San Jose, CA
  • NPI 1356502553

  HI

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1770136087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 MAUI LANI PARKWAY",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932416",
            "telephone_number": "808-442-5700",
            "fax_number": "808-442-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 MAUI LANI PARKWAY",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932416",
            "telephone_number": "530-241-1473",
            "fax_number": "808-442-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KTAMURA MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KTAMURA MD INC",
        "enumeration_date": "2019-07-17",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "TAMURA",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-241-1473",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendan Kozik, L.AC.
• KR Counseling LLC
• Stacey Krenelka, LCSW
• Kristen Tamura MD Inc
• Emily A Krug, PHARMD
• Marcus Aleksander Kuikka, MBBS
• Leigh K Kupo, LMT
• Yasmin Kurdi
• Karla KN Kurokawa, DPT
• Gordon Labedz, MD

• Nephrology Physician in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Nephrology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.