Individual provider Active NPI

Ross Sadao Oshiro, ATC CSCS LMT

  • Athletic Trainer
  • Honolulu, HI
National Provider Identifier
1922200088
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
3221 Waialae Ave
Suite 300
Honolulu, HI 96816
Phone
(808) 732-1467
Fax
(808) 247-1768
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Primary
Massage Therapist 225700000X MAT-4202 HI

Addresses

Primary practice location

3221 Waialae Ave
Suite 300
Honolulu, HI 96816

Mailing address

3221 Waialae Ave
Suite 300
Honolulu, HI 96816-5842
Phone (808) 732-1467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MAT-4202HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Optimum Performance, LLC Athletic Trainer Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1922200088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 WAIALAE AVE",
            "address_2": "SUITE 300",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165842",
            "telephone_number": "808-732-1467",
            "fax_number": "808-733-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 WAIALAE AVE",
            "address_2": "SUITE 300",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96816",
            "telephone_number": "808-732-1467",
            "fax_number": "808-247-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSHIRO",
        "first_name": "ROSS",
        "middle_name": "SADAO",
        "name_prefix": "Mr.",
        "credential": "ATC CSCS LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-4202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.