1. Home
  2. Directory
  3. Hawaii
  4. Aiea
  5. Family Medicine
  6. NPI Profile

RANDALL J. NITTA, MD, LLC
NPI 1134553597
Family Medicine in Aiea, HI

Active since August 21, 2013CLIA 12D0992575 · Waiver
98-1247 KAAHUMANU ST STE 306, AIEA, HI 96701(808) 484-2904(808) 484-2864 Get Directions Write a Review

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randall J. Nitta, Md, Llc NPPES

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

RANDALL J. NITTA, MD, LLC (NPI 1134553597) is a healthcare organization registered as a family medicine in Aiea, Hawaii and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through October 18, 2027 and lists Randall Jiro Nitta, Member, as its authorized official.

NPPES Registry Identity

NPI1134553597
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRANDALL J. NITTA, MD, LLC
Location Address98-1247 KAAHUMANU ST STE 306Aiea, HI 96701-5301
Mailing Address98-1247 Kaahumanu St Ste 306Aiea, HI 96701-5301 · (808) 260-4404 · Fax (808) 484-2864
Phone(808) 484-2904
Fax(808) 484-2864
Organization SubpartNo
Authorized OfficialRandall Jiro NittaMember · (808) 260-4404
Enumeration DateAugust 21, 2013
Last NPPES UpdateJune 25, 2019
✔ NPI 1134553597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in HI · 9319
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
98-1247 KAAHUMANU ST STE 306, Aiea, HI 96701
Open in Google Maps ↗

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 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 12D0992575

Randall J Nitta, MD · Aiea, HI
Active · expires Oct 18, 2027
CLIA Number12D0992575
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorRandall J. Nitta
Laboratory Phone(808) 260-4404
Laboratory LocationRandall J Nitta, MD98-1247 Kaahumanu St Suite 306, Aiea, HI 96701
CLIA data matches this NPI record on: Address 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. RANDALL JIRO NITTA M.D.
Family Medicine
98-1247 KAAHUMANU ST STE 306
AIEA, HI 96701
Honolulu County (808) 260-4404

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 Randall J. Nitta, MD, LLC's NPI number?

The NPI number for Randall J. Nitta, MD, LLC is 1134553597. It was assigned to this organization in the NPPES registry on August 21, 2013.

Where is Randall J. Nitta, MD, LLC located?

Randall J. Nitta, MD, LLC is located at 98-1247 Kaahumanu St Ste 306, Aiea, HI 96701. The listed phone number is (808) 484-2904.

What is Randall J. Nitta, MD, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Randall J. Nitta, MD, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D0992575) is associated with this NPI, valid through October 18, 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 Randall J. Nitta, MD, LLC was last updated on June 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.