Alyssa Los, RD, RN, RYT - Medicare Registered Dietitian Or Nutrition Professional in Kaunakakai, HI

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Alyssa Los, RD, RN, RYT is a medicare enrolled "Dietitian, Registered" in Kaunakakai, Hawaii. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Canyon Primary Care Llc and her current practice location is 604 Mauna Loa Hwy, Bldg C, Kaunakakai, Hawaii. You can reach out to her office (for appointments etc.) via phone at (520) 850-9360.

Alyssa Los is licensed to practice in Arizona (license number 86088589) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699420380.

Contact Information

Alyssa Los, RD, RN, RYT
604 Mauna Loa Hwy, Bldg C,
Kaunakakai, HI 96748
(520) 850-9360
Not Available

Map and Direction




Provider's Profile

Full NameAlyssa Los
GenderFemale
SpecialityRegistered Dietitian Or Nutrition Professional
Experience8 Years
Location604 Mauna Loa Hwy, Kaunakakai, Hawaii
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Alyssa Los graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1699420380
  • Provider Enumeration Date: 02/21/2022
  • Last Update Date: 10/05/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9638514193
  • Enrollment ID: I20240224000029

Medical Identifiers

Medical identifiers for Alyssa Los such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699420380NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN-6198-0 (Hawaii)Secondary
133V00000XDietitian, Registered 86088589 (Arizona)Primary
163W00000XRegistered Nurse 000915229 (Hawaii)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Canyon Primary Care Llc34769635962

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alyssa Los allows following entities to bill medicare on her behalf.
Entity NameCanyon Primary Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295341550
PECOS PAC ID: 3476963596
Enrollment ID: O20201030002355

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alyssa Los is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Alyssa Los, RD, RN, RYT
604 Mauna Loa Hwy, Bldg C,
Honolulu, HI 96748

Ph: (520) 850-9360		Alyssa Los, RD, RN, RYT
604 Mauna Loa Hwy, Bldg C,
Kaunakakai, HI 96748

Ph: (520) 850-9360

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.