Active NPI
Kaitlyn Yim, MD
- Dermatopathology Physician
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- MD-24785
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A166454 | CA | |
| Dermatopathology Physician | 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, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 32 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 45 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A166454 | CA | MD | Dermatology Physician |
| MD-24785 | HI | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James Y. Wang, MD, Inc. | Single Specialty | Current | Accepting new patients |
| Dermspace Hawaii LLC | Single Specialty | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.