| Pearl City Medical Associates, Inc. | |
|
98-1079 Moanalua Road Suite 500 Aiea HI 96701-4794 | |
| (808) 488-0990 | |
| (808) 486-4696 |
| Full Name | Pearl City Medical Associates, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 98-1079 Moanalua Road, Aiea, Hawaii |
| Authorized Official Name and Position | Bridgit Kl Rovner (PRESIDENT) |
| Authorized Official Contact | 8084881943 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearl City Medical Associates, Inc. 98-1079 Moanalua Road Suite 500 Aiea HI 96701-4794 Ph: (808) 488-0990 | Pearl City Medical Associates, Inc. 98-1079 Moanalua Road Suite 500 Aiea HI 96701-4794 Ph: (808) 488-0990 |
| NPI Number | 1962446609 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 11/02/2009 |
| Medicare PECOS PAC ID | 1456332238 |
|---|---|
| Medicare Enrollment ID | O20040527000308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962446609 | NPI | - | NPPES |
| 50370701 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Ryan T Chung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528133410 PECOS PAC ID: 9931163623 Enrollment ID: I20041112000669 |
| Provider Name | Mark Nishihara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134330491 PECOS PAC ID: 3678627106 Enrollment ID: I20090819000147 |
| Provider Name | Francis G Buto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124061189 PECOS PAC ID: 4688694920 Enrollment ID: I20100517000676 |
| Provider Name | Michael S. Mihara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750324919 PECOS PAC ID: 1153308796 Enrollment ID: I20100608000700 |
| Provider Name | Bryan M Matsumoto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932142072 PECOS PAC ID: 8426035064 Enrollment ID: I20100721000274 |
| Provider Name | Malissa H K Iida-takashima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083810642 PECOS PAC ID: 1052436797 Enrollment ID: I20100917000441 |
| Provider Name | Malia A.l. Shimokawa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689875304 PECOS PAC ID: 3173773181 Enrollment ID: I20121030000013 |
| Provider Name | Marissa K Takase |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336536168 PECOS PAC ID: 3274884069 Enrollment ID: I20180918000994 |
| Provider Name | Victoria M Yao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457977548 PECOS PAC ID: 8325463441 Enrollment ID: I20200730003208 |
| Provider Name | Ronald I Hirokawa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427581719 PECOS PAC ID: 9830428689 Enrollment ID: I20201007002903 |
| Provider Name | Keolamau S Yee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922569441 PECOS PAC ID: 5799167656 Enrollment ID: I20220809002605 |
Rice Consultancy Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98-211 Pali Momi St, Suite 312, Aiea, HI 96701 Phone: 808-486-0449 Fax: 808-488-0725 | |
Ky Le Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98-1079 Moanalua Rd, Aiea, HI 96701 Phone: 808-536-0300 | |
Yousif A-rahim Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98-211 Pali Momi St, 312, Aiea, HI 96701 Phone: 808-486-0449 Fax: 808-488-0725 | |
Luis J. Ragunton, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98-1079 Moanalua Rd, Suite 440, Aiea, HI 96701 Phone: 808-488-8750 Fax: 808-487-5910 | |
Mark A Morisaki Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98-1079 Moanalua Rd Ste 620, Aiea, HI 96701 Phone: 808-488-2224 | |
Randall J. Nitta, Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98-1247 Kaahumanu St Ste 306, Aiea, HI 96701 Phone: 808-484-2904 Fax: 808-484-2864 | |
Robert Wong, Md, L.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98-211 Pali Momi Street, Suite 312, Aiea, HI 96701 Phone: 808-486-0449 Fax: 808-488-0725 |