Active NPI
Kyaw Htaik MD Inc.
- Internal Medicine Physician
- Rosemead, CA
National Provider Identifier
1194241521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 129170
- Legal business name
- KYAW HTAIK MD INC.
- Practice address
- 2421 San Gabriel Blvd
Rosemead, CA 91770-3653 - Phone
- (626) 741-5411
- Fax
- (626) 741-5412
- NPI assigned
- Aug 17, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kelvin Chen, MD
- Title
- Owner
- Phone
- (626) 741-5411
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 129170 | CA | Primary |
Addresses
Primary practice location
2421 San Gabriel Blvd
Rosemead, CA 91770-3653
Mailing address
400 W Le Roy Ave
Arcadia, CA 91007-7305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2329338 | Kyaw Htaik MD Inc | Certificate of waiver | Aug 26, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Rosemead, CA
- NPI 1225387137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746057600000",
"number": "1194241521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W LE ROY AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 SAN GABRIEL BLVD",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917703653",
"telephone_number": "626-741-5411",
"fax_number": "626-741-5412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KYAW HTAIK MD INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-17",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "KELVIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "626-741-5411",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "129170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rosemead, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.