NPI 1851279012 · live from the CMS NPI Registry
Marc Kusaka, MS, RDN, LD
Dietitian, Registered in Pearl City, HI. National Provider Identifier 1851279012, active.
NPI record
| NPI | 1851279012 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2214 Hoolaulea St, Pearl City, HI 96782 |
| Practice phone | 808-352-5949 |
| Enumerated | August 25, 2025 |
| Last updated | August 25, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | — (OH) |
| Dietitian, Registered primary | 133V00000X | — (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.