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

Kylie Tanaka, PA-C

Individual provider Medical Physician Assistant · NPI 1619646668

Kylie Tanaka, PA-C is a Physician Assistant in Kapolei, Hawaii. Qualified in 2021, 5 years ago. Practices with Straub Clinic and Hospital, a 423-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Hawaii.

Years since qualifying
5
Licensed in
HI
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

91-5431 Kapolei Pkwy
Kapolei, HI 96707-5000
Phone: (808) 426-9300
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (HI)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1619646668
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 12, 2021
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Straub Clinic And Hospital — 423 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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