Sato General & Cosmetic Dermatology, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

17373 Issued in HI

Legal business name

SATO GENERAL & COSMETIC DERMATOLOGY, LLC

Practice address

321 N Kuakini St
Suite 309
Honolulu, HI 96817-2364

Phone

(808) 585-9222

Fax

(808) 585-2498

NPI assigned

Mar 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Makoto Sato, M.D.NPI 1235443995

Title

Owner

Phone

(808) 636-5800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Sato General & Cosmetic Dermatology, LLC

  • Dermatology Physician
  • Honolulu, HI
  • NPI 1649978354
  NPPES parent name

Practitioners 2

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

• Ryan Sato, M.D.

  • Dermatology Physician
  • Honolulu, HI
  • NPI 1235443995
  Medicare reassignment Care Compare group NPD Authorized official
• Brooke L. Garcia, PA-C

  • Physician Assistant
  • Mililani, HI
  • NPI 1518268549
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1801213749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "address_2": "SUITE 309",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172364",
            "telephone_number": "808-585-9222",
            "fax_number": "808-585-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "address_2": "SUITE 309",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172364",
            "telephone_number": "808-585-9222",
            "fax_number": "808-585-2498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 Kilauea Ave # B-5",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967203009",
            "country_code": "US",
            "telephone_number": "808-585-9222",
            "fax_number": "808-585-2498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SATO GENERAL & COSMETIC DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "SATO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MAKOTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-636-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "HI",
            "license": "17373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serinee Sasitanon
• Tomomi A Satake, MAT
• Emily Sater, CRNP
• Sato Chiropractic Inc
• Sato General & Cosmetic Dermatology, LLC
• Renee Sato-Yuen
• Andrea Sato
• Ayako Sato
• Brian Kenji Sato, D.D.S.
• Brittany L Sato, MD, PHD

• 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 Jun 6, 2023; 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.