Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chad C.k. Tanaka, PA

Individual provider Medical Physician Assistant · NPI 1255531109

Chad C.k. Tanaka, PA is a Physician Assistant in Honolulu, Hawaii. Qualified in 2007, 19 years ago. Practices with Queens University Medical Group, a 623-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Hawaii.

Years since qualifying
19
Licensed in
CA, HI
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1301 Punchbowl St
Honolulu, HI 96813-2499
Phone: (808) 691-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence AMD-338 (HI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA 19244 (CA)

Record details

NPI number1255531109
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 19, 2007
Last updated in NPPESJune 9, 2021
Certification dateJune 9, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Queens University Medical Group — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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