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OAHU DERMATOLOGY LLC
NPI 1093134215
Specialist in Honolulu, HI

Active since April 15, 2014CLIA 12D0928315 · Microscopy
1329 LUSITANA ST, SUITE 109, HONOLULU, HI 96813(808) 536-9888(808) 585-8450 Get Directions Write a Review

NPPES record last updated: April 15, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Oahu Dermatology Llc NPPES

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

OAHU DERMATOLOGY LLC (NPI 1093134215) is a healthcare organization registered as a specialist in Honolulu, Hawaii and active in the NPI registry since April 2014. The organization holds a CLIA Microscopy certificate valid through November 16, 2026 and lists Bridget Kampen, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1093134215
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameOAHU DERMATOLOGY LLC
Location Address1329 LUSITANA ST, SUITE 109Honolulu, HI 96813-2429
Mailing Address1329 Lusitana St, Suite 109Honolulu, HI 96813-2429 · (808) 536-9888 · Fax (808) 585-8450
Phone(808) 536-9888
Fax(808) 585-8450
Organization SubpartNo
Authorized OfficialBridget KampenOffice Manager · (808) 536-9888
Enumeration DateApril 15, 2014
✔ NPI 1093134215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1329 LUSITANA ST, Honolulu, HI 96813
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oahu Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Oahu Dermatology LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Miki Garcia, M.D.
Dermatology
NPI 1265632194
1329 LUSITANA ST SUITE 109
Honolulu, HI 96813
(808) 536-9888
✔ PECOS✔ Accepts MedicareSame address
Carla Nip-Sakamoto, MD
Dermatology
NPI 1932259264
1329 LUSITANA ST SUITE 109
Honolulu, HI 96813
(808) 536-9888
✔ PECOS✔ Accepts MedicareSame address
Summer Chong, M.D.
Dermatology
NPI 1770803181
1701 E CESAR E CHAVEZ AVE SUITE 100
Los Angeles, CA 90033
(323) 987-1362
✔ PECOS✔ Accepts Medicare2,564 mi
Jodie Sasaki, M.D., M.S.
Dermatology
NPI 1902251457
660 SW 39TH ST STE 150
Renton, WA 98057
(425) 690-3483
✔ PECOS✔ Accepts Medicare2,678 mi
Danielle Del Mundo, MD
Dermatology
NPI 1790363273
545 BARNHILL DR
Indianapolis, IN 46202
(317) 944-7744
✔ PECOS4,343 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 12D0928315

Oahu Dermatology LLC · Honolulu, HI
Active · expires Nov 16, 2026
CLIA Number12D0928315
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorCarla J. Nip Sakamoto MD
Laboratory Phone(808) 536-9888
Laboratory LocationOahu Dermatology LLC1329 Lusitana St, #109, Honolulu, HI 96813
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Oahu Dermatology LLC's NPI number?

The NPI number for Oahu Dermatology LLC is 1093134215. It was assigned to this organization in the NPPES registry on April 15, 2014.

Where is Oahu Dermatology LLC located?

Oahu Dermatology LLC is located at 1329 Lusitana St Suite 109, Honolulu, HI 96813. The listed phone number is (808) 536-9888.

What is Oahu Dermatology LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Oahu Dermatology LLC enrolled in Medicare?

Yes. Oahu Dermatology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oahu Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Dermatology, reassign their Medicare billing to Oahu Dermatology LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Oahu Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 12D0928315) is associated with this NPI, valid through November 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Oahu Dermatology LLC accept?

Health plans from HMSA list Oahu Dermatology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oahu Dermatology LLC was last updated on April 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.