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PACIFIC NEPHROLOGY LLC
NPI 1265862221
Clinic/Center - Medical Specialty in Wailuku, HI

Active since November 12, 2013
95 MAUI LANI PKWY, WAILUKU, HI 96793(808) 244-1444(808) 244-1445 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Mar 9, 2018 (2 updates tracked since 2018).

About Pacific Nephrology Llc NPPES

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

PACIFIC NEPHROLOGY LLC (NPI 1265862221) is a healthcare organization registered as a medical specialty in Wailuku, Hawaii and active in the NPI registry since November 2013. The organization maintains a secondary practice location in Wailuku and lists Jay Ian Lakkis, Physician - Member And Manager, as its authorized official.

NPPES Registry Identity

NPI1265862221
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NamePACIFIC NEPHROLOGY LLC
Location Address95 MAUI LANI PKWYWailuku, HI 96793-2416
Mailing Address95 Maui Lani PkwyWailuku, HI 96793-2416 · (808) 244-1444 · Fax (808) 244-1445
Phone(808) 244-1444
Fax(808) 244-1445
Organization SubpartNo
Authorized OfficialJay Ian LakkisPhysician - Member And Manager · (808) 244-1444
Enumeration DateNovember 12, 2013
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1265862221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in HI · MD-12546
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
95 MAUI LANI PKWY, Wailuku, HI 96793
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Secondary Practice Location 1

Location 1105 Mauilani PkwyWailuku, HI 96793-2443 · Phone (808) 244-9555 · Fax (808) 244-9577

Other Identifiers 1

Medicaid54015501HI

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PACIFIC NEPHROLOGY LLC
Specialist
95 MAUI LANI PKWY
WAILUKU, HI 96793
Maui County (808) 244-1444

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 Pacific Nephrology LLC's NPI number?

The NPI number for Pacific Nephrology LLC is 1265862221. It was assigned to this organization in the NPPES registry on November 12, 2013.

Where is Pacific Nephrology LLC located?

Pacific Nephrology LLC is located at 95 Maui Lani Pkwy, Wailuku, HI 96793. The listed phone number is (808) 244-1444.

What is Pacific Nephrology LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Pacific Nephrology LLC was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.