Individual provider Active NPI

Nancy Siyang Manglallan-Yang, MD

  • Obstetrics & Gynecology Physician
  • Kahului, HI
National Provider Identifier
1083238406
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD-25818 Issued in HI
Practice address
100 Hookele St Ste 910
Kahului, HI 96732-3548
Phone
(808) 686-4690
Fax
(808) 686-2127
NPI assigned
Jun 1, 2020
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 61521287 WA
Addiction Medicine (Family Medicine) Physician 207QA0401X MD-25818 HI
Obstetrics & Gynecology Physician 207V00000X MD-25818 HI Primary

Addresses

Primary practice location

100 Hookele St Ste 910
Kahului, HI 96732-3548

Mailing address

100 Hookele St Ste 910
Kahului, HI 96732-3548
Phone (808) 686-4690

Other practice location 1

221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056

Other names 1

  • Nancy Yang Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, HI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240611000679 WA Practitioner - Obstetrics/Gynecology 6507308145 Reassigns benefits to 1 organization
I20251029001514 HI Practitioner - Obstetrics/Gynecology 6507308145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Minnesota Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians

Practice addresses (Care Compare)

1380 Lusitana St
Honolulu, HI 96813-2448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-25818HIMDAddiction Medicine (Family Medicine) Physician
61521287WAMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Queens North Hawaii Community Hospital CurrentSince Oct 1, 2025 Accepting new patients
Queens North Hawaii Community Hospital Obstetrics & Gynecology CurrentSince Oct 1, 2025 Accepting new patients
Obstetrix Medical Group of Washington Inc PS Obstetrics & Gynecology CurrentSince Jul 1, 2024 Accepting new patients
Queens University Medical Group CurrentSince Oct 1, 2025 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC Past Accepting new patients
Seattle Nuclear Medicine-Ultrasound Associates Past Accepting new patients

Locations

File 50978
Los Angeles, CA 90074

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1319 Punahou St
Ste 824
Honolulu, HI 96826
Phone (808) 203-6500

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 432-8000

44 Hookele St
Ste 910
Kahului, HI 96732

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

900 Pacific Ave
Everett, WA 98201
Phone (425) 258-7900

751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000

1229 Madison St
Ste 1150
Seattle, WA 98104
Phone (206) 386-2101

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1083238406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOOKELE ST STE 910",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323548",
            "telephone_number": "808-686-4690",
            "fax_number": "808-686-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOOKELE ST STE 910",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323548",
            "telephone_number": "808-686-4690",
            "fax_number": "808-686-2127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Mahalani St",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967932526",
            "country_code": "US",
            "telephone_number": "808-244-9056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGLALLAN-YANG",
        "first_name": "NANCY",
        "middle_name": "SIYANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WA",
            "license": "61521287",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "HI",
            "license": "MD-25818",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "MD-25818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "YANG",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kahului, HI

Sources for this page

Verify at the official NPI Registry.