Individual provider Active NPI

Kaitlyn Yim, MD

  • Dermatopathology Physician
  • Honolulu, HI
National Provider Identifier
1174075303
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
MD-24785 Issued in HI
Practice address
1319 Punahou St Ste 1000
Honolulu, HI 96826-1077
Phone
(808) 451-3178
Fax
(808) 427-6064
NPI assigned
Nov 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A166454 CA
Dermatopathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0900X MD-24785 HI Primary

Addresses

Primary practice location

1319 Punahou St Ste 1000
Honolulu, HI 96826-1077

Mailing address

1319 Punahou St Ste 1000
Honolulu, HI 96826-1077
Phone (808) 451-3178

Other practice location 1

888 S Figueroa St Ste 1050
Los Angeles, CA 90017-5310
Phone (213) 319-3339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, 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
I20230728002963 CA Practitioner - Dermatology 1355721747 Reassigns benefits to 1 organization
I20250616001219 HI Practitioner - DermatologyPractitioner - Other (Physician) 1355721747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James Y Wang MD IncGroup PAC ID 7618213406, 15 clinicians

Practice addresses (Care Compare)

1319 Punahou St
Suite 1000
Honolulu, HI 96826-1077
Phone (808) 451-3178

888 S Figueroa St
Suite 1050
Los Angeles, CA 90017-5310
Phone (213) 319-3339

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions32
Removal of nail tissue1-10
Skin biopsy45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A166454CAMDDermatology Physician
MD-24785HIMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James Y. Wang, MD, Inc. Single Specialty CurrentSince Jul 24, 2023 Accepting new patients
Dermspace Hawaii LLC Single Specialty CurrentSince Apr 17, 2025 Accepting new patients

Locations

3080 Bristol St
Ste 650
Costa Mesa, CA 92626
Phone (213) 319-3339

888 S Figueroa St
Ste 1050
Los Angeles, CA 90017
Phone (213) 319-3339

1319 Punahou St
Ste 1000
Honolulu, HI 96826
Phone (808) 451-3178

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1174075303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST STE 1000",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261077",
            "telephone_number": "808-451-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST STE 1000",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261077",
            "telephone_number": "808-451-3178",
            "fax_number": "808-427-6064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 S Figueroa St Ste 1050",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900175310",
            "country_code": "US",
            "telephone_number": "213-319-3339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YIM",
        "first_name": "KAITLYN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A166454",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "HI",
            "license": "MD-24785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.