Active NPI
Todd Mitsuo Uchima, PA-C
- Physician Assistant
- Jbphh, HI
National Provider Identifier
1982662987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- AMD226
- Practice address
- 755 Scott Cir
Jbphh, HI 96853-5399 - Phone
- (808) 448-6100
- Fax
- (808) 448-6113
- NPI assigned
- May 2, 2006
- Last updated
- Dec 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | AMD226 | HI | Primary |
Addresses
Primary practice location
755 Scott Cir
Jbphh, HI 96853-5399
Mailing address
755 Scott Cir
Jbphh, HI 96853-5399
Phone (808) 448-6100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000251397 | Other | HI | HMSA |
| 576689 | Medicaid | HI | |
| 8378241 | Other | HI | UHA |
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1982662987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 SCOTT CIR",
"city": "JBPHH",
"state": "HI",
"postal_code": "968535399",
"telephone_number": "808-448-6100",
"fax_number": "808-448-6113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 SCOTT CIR",
"city": "JBPHH",
"state": "HI",
"postal_code": "968535399",
"telephone_number": "808-448-6100",
"fax_number": "808-448-6113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UCHIMA",
"first_name": "TODD",
"middle_name": "MITSUO",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "HI",
"license": "AMD226",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "0000251397",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "576689",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHA",
"identifier": "8378241",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jbphh, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.