Healthcare Provider Details

I. General information

NPI: 1699630228
Provider Name (Legal Business Name): PINNIE MEDICAL GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 AUAHI ST APT 2406
HONOLULU HI
96814-3365
US

IV. Provider business mailing address

1000 AUAHI ST APT 2406
HONOLULU HI
96814-3365
US

V. Phone/Fax

Practice location:
  • Phone: 808-258-2370
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TAKASHI NAKAMURA
Title or Position: PRESIDENT
Credential: MD
Phone: 808-258-2370