Russell G Tacata MD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RUSSELL G TACATA MD

Practice address

1619 Liliha St Ste 3
Honolulu, HI 96817-3152

Phone

(808) 531-5454

Fax

(808) 531-5451

NPI assigned

Aug 11, 2023

Organization subpart

No

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

Authorized official

Name

Russell G Tacata, MD

Title

Owner

Phone

(808) 531-5454

Specialties & licenses 1

Addresses

Other names 1

• RUSSELL G TACATA MD Doing business as

Locations

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1831872126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 LILIHA ST STE 3",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173152",
            "telephone_number": "808-531-5454",
            "fax_number": "808-531-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 LILIHA ST STE 3",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173152",
            "telephone_number": "808-531-5454",
            "fax_number": "808-531-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL G TACATA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "TACATA",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-531-5454",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RUSSELL G TACATA MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Rundengan
• Catherine M Rungee, OTD, OTR/L
• Rupal M Gohil MD LLC
• Hana Rupnow
• Tameron Elizabeth Russ, ATC
• Russell K Tasaka, DMD
• Russell K Tasaka, DMD
• Russell K Tasaka, DMD, LLC
• Russell Wong MD Inc
• Joanna Marie Russell, M.D.

• Clinic/Center in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.