DEREK I MITO (NPI# 1558335042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558335042 |
| Entity Type | Individual |
| Full Name | DEREK I MITO |
| Credential | MD |
| Practice Address |
599 Farrington Hwy Ste 201 Kapolei HI 96707-2028 |
| Practice Telephone | 8086749500 |
| Mailing Telephone | 8086749500 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2020-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD-20577 | HI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 9932 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 11041229 | 01 | |
| NV | 002016769 | 05 | |
| NV | RAILROAD MEDICARE | 80173665 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21 Locust St, Reno, NV 895021316 | 7759825270 | 7759825288 |
| Street Address |
599 FARRINGTON HWY STE 201 |
| City | KAPOLEI |
| State | HI |
| Zip Code | 96707-2028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912386715 | Johanna Javier | Family Medicine | 599 Farrington Hwy Ste 201, Kapolei, HI 96707-2028 | 2015-05-26 |
| 1679768352 | Queen's Development Corporation & Subsidiaries | Clinic/Center | 599 Farrington Hwy Ste 201, Kapolei, HI 96707-2028 | 2007-09-06 |
| 1154546919 | Deborah Ann Agles | Preventive Medicine | 599 Farrington Hwy Ste 201, Kapolei, HI 96707-2028 | 2007-04-16 |
| 1235162959 | Brian Panik | Emergency Medicine | 599 Farrington Hwy Ste 201, Kapolei, HI 96707-2028 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840578 | Brittany Feiteira | Community Health Worker | Napuakea Waiver Program Service Center, 92-461 Makakilo Drive, Kapolei, HI 96707 | 2019-06-14 |
| 1023537297 | Virgil Tanizaki | Acupuncturist | 2176 Lauwiliwili St Unit 1 Office 12, Kapolei, HI 96707 | 2017-09-19 |
| 1902355886 | Lorelei Bandola | Specialist/Technologist | 91-1180 Midway Rd, Kapolei, HI 96707 | 2016-10-03 |
| 1063867794 | Denna Macanas | Massage Therapist | 599 Farrington Hwy., Ste.#102, Kapolei, HI 96707 | 2016-05-02 |
| 1962888065 | Harumi Redden | Massage Therapist | 1001 Kamokila Blvd, Suite 114, Kapolei, HI 96707 | 2015-07-31 |
| 1851783351 | Leigh Oyler | Physical Therapist | 91-1027 Shangrila Street, Bldg 1867, Kapolei, HI 96707 | 2015-02-21 |
| 1326440207 | Hsiao-ling Shen Hoshino | Dentist | 590 Farrington Hwy Unit 523, Kapolei, HI 96707 | 2014-09-22 |
| 1992131387 | Kaiser Foundation Health Plan, Inc. | Pharmacy | Kaiser Kapolei Pharmacy, 599 Farrington Highway, Kapolei, HI 96707 | 2013-09-18 |
| 1083959993 | Foodland Super Market Limited | Pharmacy | 4850 Kapolei Parkway, Kapolei, HI 96707 | 2012-12-04 |
| 1407108095 | Kristen Pagulayan | Social Worker | 92-7038 Elele St, Kapolei, HI 96707 | 2012-10-08 |
| Find all providers in zip 96707 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669826400 | Megan Hokulani Sakamoto-chun | Family Medicine | 91-5431 Kapolei Pkwy Ste 1706, Kapolei, HI 96707-5000 | 2016-04-18 |
| 1548482623 | Junedale Yuka Nishiyama | Family Medicine | 91-1010 Shangrila St Ste 100, Kapolei, HI 96707-2176 | 2007-05-02 |
| 1215381124 | Ashley Kong | Family Medicine | 599 Farrington Hwy Ste 100, Kapolei, HI 96707-2028 | 2016-04-17 |
| 1912386715 | Johanna Javier | Family Medicine | 599 Farrington Hwy Ste 201, Kapolei, HI 96707-2028 | 2015-05-26 |
| 1427483569 | Darlene Ramones | Family Medicine | 599 Farrington Hwy, Kapolei, HI 96707-2028 | 2013-09-09 |
| 1407082779 | Terri Keiko Yoneyama Koyanagi | Family Medicine | 575 Farrington Hwy, Kapolei, HI 96707-2001 | 2009-06-01 |
| 1629281225 | Jonathan Tai Kook Kim | Family Medicine | 590 Farrington Hwy, Unit 526a, Kapolei, HI 96707-2009 | 2007-05-08 |
| 1366508277 | Bradley Kaipoleimanu Lee | Family Medicine | 590 Farrington Hwy, Unit 526a, Kapolei, HI 96707-2034 | 2006-12-28 |
| 1912065285 | Tracie F Hata | Family Medicine | 590 Farrington Hwy, Unit 526a, Kapolei, HI 96707-2009 | 2006-12-05 |
| 1275605743 | Kapolei Family Medical Center, Inc. | Family Medicine | 590 Farrington Hwy, Suite 526a, Kapolei, HI 96707-2009 | 2006-11-14 |
| Find all providers in KAPOLEI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.