Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Pacific Nephrology LLC

Medical Specialty Clinic/Center in Wailuku, HI · enumerated 2013 · authorized official Jay Lakkis, Physician - Member and Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265862221

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Registry record

Entity type Organization (Type 2)

Legal business name Pacific Nephrology LLC

Practice address 95 Maui Lani Pkwy, Wailuku, HI, 96793

Phone (808) 244-1444

Fax (808) 244-1445

Enumeration date Nov 12, 2013

Last updated in NPPES Mar 17, 2018

Taxonomy & classification

261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities · License MD-12546 (HI) Primary

Authorized official

Name Jay Lakkis

Title Physician - Member and Manager

Phone (808) 244-1444

Other identifiers

Identifier	Type	State	Issuer
54015501	Medicaid	HI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-03-17. Verify at npiregistry.cms.hhs.gov.

Where is Pacific Nephrology LLC located?

The practice location on file with NPPES is in Wailuku, HI.

Providers at this address

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Pacific Nephrology LLC Specialist · Wailuku, HI NPI 1932379971

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-17.