Healthcare Provider Details

I. General information

NPI: 1184310088
Provider Name (Legal Business Name): TORU NAKATA MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2023
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PASTEUR DR
PALO ALTO CA
94304-2203
US

IV. Provider business mailing address

1356 LUSITANA ST FL 7
HONOLULU HI
96813-2409
US

V. Phone/Fax

Practice location:
  • Phone: 650-723-5948
  • Fax:
Mailing address:
  • Phone: 808-586-2910
  • Fax: 808-586-2910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMDR-8496
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberA208700
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: