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PACIFIC NEPHROLOGY LLC
NPI 1932379971
Specialist in Wailuku, HI

Active since March 05, 2008
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 09, 2026.

Record update history: Mar 17, 2018, Mar 8, 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 1932379971) is a healthcare organization registered as a specialist in Wailuku, Hawaii and active in the NPI registry since March 2008. The organization maintains a secondary practice location in Wailuku and lists Jay Ian Lakkis, Owner, as its authorized official.

NPPES Registry Identity

NPI1932379971
Entity TypeOrganization
Primary Taxonomy174400000X
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 LakkisOwner · (808) 244-1444
Enumeration DateMarch 5, 2008
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1932379971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in HI · MD12546
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.
95 MAUI LANI PKWY, Wailuku, HI 96793
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Secondary Practice Location 1

Location 1105 Mauilani Pkwy, Ste.100Wailuku, HI 96793-2442 · Phone (808) 244-9555 · Fax (808) 244-9577

Other Identifiers 1

Medicaid54015501HI

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

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
Clinic/Center (Medical Specialty)
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 1932379971. It was assigned to this organization in the NPPES registry on March 5, 2008.

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 Specialist with taxonomy code 174400000X.

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.