Active NPI
Lisa M. Yoshikawa, MD
- Pediatrics Physician
- Wailuku, HI
National Provider Identifier
1790846293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD-13956
- Practice address
- 221 Mahalani St
Wailuku, HI 96793-2526 - Phone
- (808) 244-9056
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD-13956 | HI | Primary |
Addresses
Primary practice location
221 Mahalani St
Wailuku, HI 96793-2526
Mailing address
221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000264309 | Other | HI | HMSA BILLING NUMBER |
| 591223-02 | Medicaid | HI |
Other names 1
- Lisa P. Moisan
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-13956 | HI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maui Health System a Kaiser Foundation Hospitals LLC | Current | Accepting new patients | |
| Maui Health System a Kaiser Foundation Hospitals LLC | Current | Accepting new patients | |
| Maui Health System a Kaiser Foundation Hospitals LLC | Current | Accepting new patients |
Locations
85 Maui Lani Pkwy
Wailuku, HI 96793
Phone (808) 442-5700
221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Wailuku, HI
- NPI 1013379460
-
- Specialist
- Wailuku, HI
- NPI 1669834016
-
- Nursing Facility/Intermediate Care Facility
- Lana'I, HI
- NPI 1841645959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1790846293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 MAHALANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932526",
"telephone_number": "808-244-9056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 MAHALANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932526",
"telephone_number": "808-244-9056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOSHIKAWA",
"first_name": "LISA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "HI",
"license": "MD-13956",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA BILLING NUMBER",
"identifier": "0000264309",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "591223-02",
"state": "HI"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "221 Mahalani St",
"city": "Wailuku",
"state": "HI",
"country_code": "US",
"postal_code": "967932526",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LISA",
"last_name": "MOISAN",
"middle_name": "P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.