Malama Dermatology, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MALAMA DERMATOLOGY, LLC

Doing business as

Malama Dermatology

Practice address

3221 Waialae Ave Ste 382
Honolulu, HI 96816-5845

Phone

(808) 940-0961

Fax

(808) 201-4951

NPI assigned

Jun 17, 2024

Last updated

Jul 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shelbi Jim on, MDNPI 1184923765

Title

MD, Owner

Phone

(808) 940-0961

Specialties & licenses 1

Addresses

Other names 1

• MALAMA DERMATOLOGY Doing business as

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00326

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shelbi Ching Jim on, MD

  • Dermatology Physician
  • Honolulu, HI
  • NPI 1184923765
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720224000000",
    "number": "1194568212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 WAIALAE AVE STE 382",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165845",
            "telephone_number": "808-940-0961",
            "fax_number": "808-201-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 WAIALAE AVE STE 382",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165845",
            "telephone_number": "808-940-0961",
            "fax_number": "808-201-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALAMA DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A",
        "authorized_official_last_name": "JIM ON",
        "authorized_official_first_name": "SHELBI",
        "authorized_official_title_or_position": "MD, OWNER",
        "authorized_official_telephone_number": "808-940-0961",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MALAMA DERMATOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Jordan Ramos Malabanan
• Robertbryan Malaca
• Brian Malaga Larrain Sr.
• Malama Adult Day Care LLC
• Malama Counseling Services LLC
• Malama Imaging LLC
• Malama Kidney Center, LLC
• Malama Maikai Health and Wellness Alliance LLC
• Malama Ohana Nursing and Rehab Center
• Malama Ola Health Services LLC

• Dermatology Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Dermatology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.