TIM TAIKYO KANEDA PA-C M.H.S. NPI 1972854099

NPI Information

  • NPI: 1972854099
  • Provider Name: TIM TAIKYO KANEDA, PA-C, M.H.S.
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2180 MAIN ST
    WAILUKU, HI
    ZIP 96793
  • Phone: (808) 242-4267

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NPI Details

Tim Taikyo Kaneda, PA-C, M.H.S. is a medical physician assistant in Wailuku, HI with 14 years of experience. Tim Taikyo Kaneda, PA-C, M.H.S. NPI is 1972854099. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

2180 MAIN ST
WAILUKU, HI
ZIP 96793-625
Phone: (808) 242-4267
Fax: (808) 242-4292

The NPI 1972854099 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/28/2012 and was last updated on 5/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalAMD 480HAWAIIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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