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

Ryan Wada, PA-C

Individual provider Physician Assistant · NPI 1225302995

Ryan Wada, PA-C is a Physician Assistant in Koloa, Hawaii. Qualified in 2019, 7 years ago. Practices with Samuel Mahelona Memorial Hospital, a 48-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2829 Ala Kalanikaumaka St Ste B201
Koloa, HI 96756
Phone: (808) 742-0999
Fax: (808) 240-5576
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA22150 (CA)

Record details

NPI number1225302995
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 28, 2012
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026
Mailing addressP.O. Box 337, Waimea, HI 96796-0337

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Samuel Mahelona Memorial Hospital — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare