Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pacific Skin Institute

Organization Dermatology Physician · NPI 1790649135

Pacific Skin Institute is a Dermatology Physician in Waikoloa, Hawaii. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

69-201 Waikoloa Beach Dr Ste 2F-13
Waikoloa, HI 96738-5810
Phone: (808) 500-0404
Fax: (808) 867-8985
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1790649135
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPacific Skin Institute
Authorized official Kevin Yen — Administrator · (916) 925-6950
NPI enumeratedDecember 10, 2025
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025
Mailing address1495 River Park Dr Ste 200, Sacramento, CA 95815-4517

Other providers in Waikoloa