PACIFIC ENDOSCOPY CENTER LLC
NPI 1104246446
Clinic/Center - Ambulatory Surgical in Honolulu, HI

NPI Status: Active since April 25, 2014

Contact Information

2226 LILIHA ST
STE. 307
HONOLULU, HI
ZIP 96817
Phone: (808) 531-5828

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 12D2055026
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-03-2027

About PACIFIC ENDOSCOPY CENTER LLC

This page provides the complete NPI Profile along with additional information for Pacific Endoscopy Center Llc, a provider established in Honolulu, Hawaii operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1104246446 assigned on April 2014. The practitioner's primary taxonomy code is 261QA1903X with license number FSOF-13 (HI). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Eric Boon (Officer/ao)

NPI
1104246446
Provider Name
PACIFIC ENDOSCOPY CENTER LLC
Entity Type
Organization
Location Address
2226 LILIHA ST STE. 307 HONOLULU, HI 96817
Location Phone
(808) 531-5828
Mailing Address
2226 LILIHA ST HONOLULU, HI 96817
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-25-2014
Last Update Date
01-10-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
FSOF-13
License State
HI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HMSA Bronze PPO I - PPO
  • HMSA Bronze PPO II HSA - PPO
  • HMSA Catastrophic Plan - PPO
  • HMSA Gold PPO I - PPO
  • HMSA Gold PPO II - PPO
  • HMSA Platinum PPO - PPO
  • HMSA Silver PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ERIC BOON

Authorized Official Title
OFFICER/AO
Authorized Official Phone
(480) 567-0269

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 204 times for 193 patients

Biopsy of large bowel using a flexible endoscope

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

This service was performed 397 times for 395 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

This service was performed 40 times for 36 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 30 times for 30 patients

Injection beneath lining of large bowel using a flexible endoscope

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

This service was performed 102 times for 102 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using a flexible endoscope with electrical cautery

This procedure involves using a flexible tube with a camera (endoscope) to view and remove abnormal growths (polyps) in the esophagus, stomach, or upper small intestine. Electrical cautery, a tool that uses heat, helps in safely removing these growths.

This service was performed 62 times for 59 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

This service was performed 19 times for 18 patients

Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery

This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.

This service was performed 117 times for 117 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 294 times for 291 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
12D2055026
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
March 04, 2025
Certificate Expiration Date
March 03, 2027
Laboratory Director
KRISTI LOPEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pacific Endoscopy Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104246446, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 4 + 4 + 1 + 2 + 4 + 8 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1104246446.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Geriatric Medicine)
2226 LILIHA ST
HONOLULU, HI 96817
Psychologist (Health Service)
2226 LILIHA ST, SUITE 306
HONOLULU, HI 96817
Anesthesiology
2226 LILIHA ST, SUITE 307
HONOLULU, HI 96817
Anesthesiology
2226 LILIHA ST, 307
HONOLULU, HI 96817
Internal Medicine (Cardiovascular Disease)
2226 LILIHA ST, #302
HONOLULU, HI 96817
Internal Medicine (Gastroenterology)
2226 LILIHA ST, STE 413
HONOLULU, HI 96817
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2226 LILIHA ST, 403
HONOLULU, HI 96817
Internal Medicine (Gastroenterology)
2226 LILIHA ST, #405
HONOLULU, HI 96817
Internal Medicine (Gastroenterology)
2226 LILIHA ST, #303
HONOLULU, HI 96817
Surgery
2226 LILIHA ST, SUITE 402
HONOLULU, HI 96817
Clinic/Center (Ambulatory Surgical)
2226 LILIHA ST, LEVEL B1
HONOLULU, HI 96817
Specialist
2226 LILIHA ST, SUITE 402
HONOLULU, HI 96817
Dietitian, Registered
2226 LILIHA ST
HONOLULU, HI 96817
Social Worker
2226 LILIHA ST, BOX 30100
HONOLULU, HI 96817
General Acute Care Hospital
2226 LILIHA ST
HONOLULU, HI 96817
Dietitian, Registered (Nutrition, Renal)
2226 LILIHA ST, SUITE 226
HONOLULU, HI 96817
Dietitian, Registered (Nutrition, Renal)
2226 LILIHA ST, SUITE 226
HONOLULU, HI 96817
Dietitian, Registered (Nutrition, Renal)
2226 LILIHA ST, SUITE 226
HONOLULU, HI 96817
Pharmacist
2226 LILIHA ST
HONOLULU, HI 96817
Dietitian, Registered (Nutrition, Renal)
2226 LILIHA ST, SUITE 226
HONOLULU, HI 96817

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104246446, enumerated as an "organization" on April 25, 2014.

The provider is located at 2226 LILIHA ST STE. 307 HONOLULU, HI 96817 and the phone number is (808) 531-5828.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: HMSA. Please consult your insurance carrier or call the provider to verify.