Pacific Skin Institute LLC
NPI 1710842661ActiveOrganization· Dermatology· Waikoloa, HI
Dermatology in Waikoloa, Hawaii, registered in NPPES in December 2025, part of Pacific Skin Institute. The authorized official on file is Kevin Yen, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710842661 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Pacific Skin Institute |
| NPI issued | Dec 22, 2025 |
| Last updated in NPPES | Mar 25, 2026 |
| Certified by provider | Mar 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (HI) |
|---|
Other Dermatology providers in Waikoloa
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