Malissa H K Iida-takashima (NPI# 1083810642, PAC ID# 1052436797) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1083810642 |
| PAC ID by PECOS | 1052436797 |
| Professional Enrollment ID | I20100917000441 |
| Full Name | Malissa H K Iida-takashima |
| Organization Legal Name | PEARL CITY MEDICAL ASSOCIATES, INC. |
| Address |
98 -1079 Moanalua Rd Suite 500 Aiea HI 96701-4794 |
| Phone Number | 8084880990 |
| Gender | F |
| Medical School | UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1456332238 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 120026 | PALI MOMI MEDICAL CENTER |
| 120001 | THE QUEENS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 98 -1079 Moanalua Rd, Suite 500, Aiea, HI 96701-4794 | 8084880990 | PEARL CITY MEDICAL ASSOCIATES, INC. |
| Organization Legal Name | PEARL CITY MEDICAL ASSOCIATES, INC. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Francis G Buto | Internal Medicine | Pearl City Medical Associates, Inc. | 98 -1079 Moanalua Rd, Suite 500, Aiea, HI 96701-4794 |
| Mark Nishihara | Internal Medicine | Pearl City Medical Associates, Inc. | 98 -1079 Moanalua Rd, Suite 500, Aiea, HI 96701-4794 |
| Marissa K Takase | Internal Medicine | Pearl City Medical Associates, Inc. | 98 -1079 Moanalua Rd, Suite 500, Aiea, HI 96701-4794 |
| Michael S. Mihara | Internal Medicine | Pearl City Medical Associates, Inc. | 98 -1079 Moanalua Rd, Suite 500, Aiea, HI 96701-4794 |
| Bryan M Matsumoto | Internal Medicine | Pearl City Medical Associates, Inc. | 98 -1079 Moanalua Rd, Suite 500, Aiea, HI 96701-4794 |
| Street Address |
98 -1079 MOANALUA RD SUITE 500 |
| City | AIEA |
| State | HI |
| Zip | 96701-4794 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mandi Sue Breyman | Physician Assistant | Medical Clinic, Inc. | 98 -1079 Moanalua Rd, Suite 620, Aiea, HI 96701-4716 |
| Richard D Kline | Emergency Medicine | Hawaii Hospital Physicians Inc | 98 -1079 Moanalua Rd, Suite 601, Aiea, HI 96701-4713 |
| Dawn A Miura | Internal Medicine | Aiea Internal Medicine Services, L.L.C. | 98 -1079 Moanalua Rd, Suite 350, Aiea, HI 96701-4714 |
| Michael Wayne Chan | Cardiovascular Disease (cardiology) | 98 -1079 Moanalua Rd, Suite 655, Aiea, HI 96701-4724 | |
| Philip I Kuo | Allergy/immunology | Medical Clinic, Inc. | 98 -1079 Moanalua Rd, Suite 620, Aiea, HI 96701-4716 |
| Brandon K Itagaki | Interventional Radiology | Straub Clinic and Hospital | 98 -1079 Moanalua Rd, Aiea, HI 96701-4713 |
| Kevin S Hara | Pulmonary Disease | 98 -1079 Moanalua Rd, Suite 430, Aiea, HI 96701-4715 | |
| Justin K Maio | Physician Assistant | Complete Dermatology | 98 -1079 Moanalua Rd, Suite 550, Aiea, HI 96701-4716 |
| Shayne M Castanera | Internal Medicine | 98 -1079 Moanalua Rd, Aiea, HI 96701-4713 | |
| Martha L Cruz | Neurology | Pali Momi Medical Center | 98 -1079 Moanalua Rd, Aiea, HI 96701-4713 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luis J Ragunton | Internal Medicine | 98 1079 Moanlua Rd, Suite 440, Aiea, HI 96701 | |
| Kai Ichiro Morigawara | Physical Therapy | 98 -476 Pono St, Aiea, HI 96701-2107 | |
| Piyush Tiwari | Psychiatry | 98 -665 Kaonohi St, Apt D, Aiea, HI 96701-2421 | |
| Garrett W Okubo | Physical Therapy | 99 -611 Alia Pl, Aiea, HI 96701-3330 | |
| Brittney A Williams | Obstetrics/gynecology | University Clinical Education and Research Associates | 99 -600 Kulawea St, Aiea, HI 96701-3607 |
| Susan M Rinaldi Weldon | Physician Assistant | University Clinical Education and Research Associates | 99 -600 Kulawea St, Aiea, HI 96701-3607 |
| Nicole M Aurellano | Psychologist, Clinical | University Clinical Education and Research Associates | 99 -600 Kulawea St, Aiea, HI 96701-3607 |
| Michele Y Pangilinan | Obstetrics/gynecology | University Clinical Education and Research Associates | 99 -600 Kulawea St, Aiea, HI 96701-3607 |
| Timothy H Hagino | Dermatology | 99 -128 Aiea Heights Dr, Suite 110, Aiea, HI 96701-3916 | |
| Stephen K Miyasato | Internal Medicine | 99 -128 Aiea Heights Dr, Suite 105, Aiea, HI 96701-3916 | |
| Find all physicians in zip 96701 | |||
| City | AIEA |
| Zip Code | 96701 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | AIEA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Malissa H K Iida-takashima.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.