Organization Active NPI

Kyaw Lyn MD Inc

  • Internal Medicine Physician
  • West Covina, CA
National Provider Identifier
1144384157
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A54425 Issued in CA
Legal business name
KYAW LYN MD INC
Practice address
906 S Sunset Ave
Suite101
West Covina, CA 91790-3400
Phone
(626) 960-1902
Fax
(626) 960-3982
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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

Authorized official

Name
Dr. Kyaw Lyn, M.DNPI 1902841166
Title
President
Phone
(626) 960-1902

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A54425 CA Primary

Addresses

Primary practice location

906 S Sunset Ave
Suite101
West Covina, CA 91790-3400

Mailing address

906 S Sunset Ave
Suite101
West Covina, CA 91790-3400
Phone (626) 960-1902

Other identifiers 1

IdentifierTypeStateIssuer
00A544250MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060111001235 CA Part B Supplier - Clinic/Group Practice 5496778896 Receives reassigned benefits from 1 practitioner
Practice locations: West Covina, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0864661Kyaw Lyn, MD Inc906 S Sunset Ave Ste 101, West Covina, CA 91790Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

Locations

198 W Rte 66
Glendora, CA 91740

1740 W Cameron Ave
Ste 110
West Covina, CA 91790
Phone (626) 960-1402

906 S Sunset Ave
Ste 101
West Covina, CA 91790
Phone (626) 338-5581

767 S Sunset Ave
Ste 2
West Covina, CA 91790
Phone (626) 960-1902

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1144384157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 S SUNSET AVE",
            "address_2": "SUITE101",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903400",
            "telephone_number": "626-960-1902",
            "fax_number": "626-960-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 S SUNSET AVE",
            "address_2": "SUITE101",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903400",
            "telephone_number": "626-960-1902",
            "fax_number": "626-960-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYAW LYN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "LYN",
        "authorized_official_first_name": "KYAW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-960-1902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A544250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.