Rodney Londari Itaki, BSCMED, MBBS, MPH

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5064C Issued in AS

Practice address

American Samoa Department of Health
Tafuna Community Health Centre
Pago Pago, AS 96799

Phone

(684) 258-9458

NPI assigned

Sep 28, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1801675707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AMERICAN SAMOA DEPARTMENT OF HEALTH",
            "address_2": "TAFUNA COMMUNITY HEALTH CENTRE",
            "city": "PAGO PAGO",
            "state": "AS",
            "postal_code": "96799",
            "telephone_number": "684-258-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AMERICAN SAMOA DEPARTMENT OF HEALTH",
            "address_2": "TAFUNA COMMUNITY HEALTH CENTRE",
            "city": "PAGO PAGO",
            "state": "AS",
            "postal_code": "96799",
            "telephone_number": "684-258-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITAKI",
        "first_name": "RODNEY",
        "middle_name": "LONDARI",
        "name_prefix": "Dr.",
        "credential": "BSCMED, MBBS, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AS",
            "license": "5064C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Pago Pago, AS
• General Practice Physician in American Samoa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.