OrganizationActive
Pacific Skin Institute
NPI 1790649135 · Dermatology Physician · Waikoloa, HI
Pacific Skin Institute is a Dermatology Physician organization in Waikoloa, HI (NPI 1790649135).
Provider details
- NPI number
- 1790649135
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Pacific Skin Institute
- Organization subpart
- Yes
- Authorized official
- Kevin Yen, Administrator(916) 925-6950
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
69-201 Waikoloa Beach Dr Ste 2f-13
Waikoloa, HI 96738-5810
Phone: (808) 500-0404
Fax: (808) 867-8985
Street-level locationGet directions
Mailing address
1495 River Park Dr Ste 200
Sacramento, CA 95815-4517
Registry dates
- Enumerated
- 2025-12-10
- Last updated
- 2025-12-10
- Certified
- 2025-12-10
Frequently asked questions
- What is Pacific Skin Institute's NPI number?
- Pacific Skin Institute's National Provider Identifier (NPI) is 1790649135, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Skin Institute?
- Pacific Skin Institute is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Pacific Skin Institute located?
- Pacific Skin Institute's practice location on file with NPPES is 69-201 Waikoloa Beach Dr Ste 2f-13, Waikoloa, HI 96738-5810.
- What is Pacific Skin Institute's phone number?
- The practice phone number listed in the NPPES registry for Pacific Skin Institute is (808) 500-0404.
- Who is the authorized official for Pacific Skin Institute?
- The authorized official listed on Pacific Skin Institute's NPPES record is Kevin Yen, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Skin Institute's NPI active?
- Yes — Pacific Skin Institute's NPI (1790649135) is active in the NPPES registry as of the last update on 2025-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.