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RAINE FUKUDA UROLOGY, LLC
NPI 1124253810
Urology in Honolulu, HI

Active since May 25, 2009CLIA 12D2161684 · Waiver
1712 LILIHA ST., SUITE 302, HONOLULU, HI 96817(808) 521-8288(808) 526-0069 Get Directions Write a Review

NPPES record last updated: September 20, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Raine Fukuda Urology, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAINE FUKUDA UROLOGY, LLC (NPI 1124253810) is a healthcare organization registered as an urology in Honolulu, Hawaii and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through February 6, 2027 and lists Raine Gay Fukuda, Member, as its authorized official.

NPPES Registry Identity

NPI1124253810
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameRAINE FUKUDA UROLOGY, LLC
Location Address1712 LILIHA ST., SUITE 302Honolulu, HI 96817-3100
Mailing Address1712 Liliha St., Suite 302Honolulu, HI 96817-3100 · (808) 521-8288 · Fax (808) 526-0069
Phone(808) 521-8288
Fax(808) 526-0069
Organization SubpartNo
Authorized OfficialRaine Gay FukudaMember · (808) 521-8288
Enumeration DateMay 25, 2009
Last NPPES UpdateSeptember 20, 2010
✔ NPI 1124253810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in HI · 15080✔ Licensed in HI · MD-15080
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1712 LILIHA ST., Honolulu, HI 96817
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Other Identifiers 1

Medicare UPINBY425BHI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D2161684

Raine Fukuda Urology, LLC · Honolulu, HI
Active · expires Feb 6, 2027
CLIA Number12D2161684
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorDr. Raine Fukuda
Laboratory Phone(808) 521-8288
Laboratory LocationRaine Fukuda Urology, LLC405 N Kuakini Street #1103, Honolulu, HI 96817
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANTONIO K. TAN M.D.
Urology
1712 LILIHA ST., STE.302
HONOLULU, HI 96817
Honolulu County (808) 521-8288

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raine Fukuda Urology, LLC's NPI number?

The NPI number for Raine Fukuda Urology, LLC is 1124253810. It was assigned to this organization in the NPPES registry on May 25, 2009.

Where is Raine Fukuda Urology, LLC located?

Raine Fukuda Urology, LLC is located at 1712 Liliha St. Suite 302, Honolulu, HI 96817. The listed phone number is (808) 521-8288.

What is Raine Fukuda Urology, LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Raine Fukuda Urology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2161684) is associated with this NPI, valid through February 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Raine Fukuda Urology, LLC was last updated on September 20, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.