Individual provider Active NPI

Carla Joyce Nip Sakamoto, MD

  • Specialist
  • Honolulu, HI
National Provider Identifier
1932259264
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD7839 Issued in HI
Practice address
1329 Lusitana St
Suite 109
Honolulu, HI 96813-2429
Phone
(808) 536-9888
Fax
(808) 585-8450
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD7839 HI Primary

Addresses

Primary practice location

1329 Lusitana St
Suite 109
Honolulu, HI 96813-2429

Mailing address

1329 Lusitana St
Suite 109
Honolulu, HI 96813-2429
Phone (808) 536-9888

Other identifiers 1

IdentifierTypeStateIssuer
509416MedicaidHI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928001237 HI Practitioner - Dermatology 6901831932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Hawaii John a. Burns School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oahu Dermatology LLCGroup PAC ID 1759501299, 3 clinicians

Practice addresses (Care Compare)

1329 Lusitana St
Suite 109
Honolulu, HI 96813-2401
Phone (808) 536-9888

Hospital & facility affiliations

  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of skin lesions616
Removal or shaving of skin growth1-10
Skin biopsy285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD7839HIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Oahu Dermatology LLC Specialist CurrentSince Oct 1, 2014 Accepting new patients

Locations

1329 Lusitana St
Ste 109
Honolulu, HI 96813
Phone (808) 531-3311

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1932259264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 109",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132429",
            "telephone_number": "808-536-9888",
            "fax_number": "808-585-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 109",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132429",
            "telephone_number": "808-536-9888",
            "fax_number": "808-585-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIP SAKAMOTO",
        "first_name": "CARLA",
        "middle_name": "JOYCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD7839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "509416",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.