Laica Mae Basingan Arcibal, DO

Individual provider Active NPI Family Medicine Physician · Waianae, HI

NPI 1083308043 · NPPES record last updated Aug 10, 2026

Key facts

NPI
1083308043
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
DOS-3043-0 (HI)
Practice address
89-102 Farrington Hwy Unit 3000
Waianae, HI 96792-4160
Phone
(808) 697-3900
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230616000088 IL Order and Referring Only - Family Practice
Practitioner - Family Practice
9537527924

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DOS-3043-0 HI Yes

Addresses

Primary practice location

89-102 Farrington Hwy Unit 3000
Waianae, HI 96792-4160

Mailing address

89-102 Farrington Hwy Unit 3000
Waianae, HI 96792-4160
Phone (808) 697-3900

Other providers in Waianae, HI

All providers in Waianae, HI · Family Medicine Physician in Hawaii

Sources for this page

Verify at the official NPI Registry.