Kyi K San, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A98231 Issued in CA

Practice address

9701 Lakewood Blvd
Suite a
Downey, CA 90240-3311

Phone

(562) 861-8999

Fax

(562) 861-0999

NPI assigned

Jul 10, 2007

Last updated

Feb 8, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kks102pcs@m1584.primeclinicalsystems.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunrise Medical Clinic, Inc.

  • Internal Medicine Physician
  • Downey, CA
  • NPI 1467629675
  Authorized official Same address or phone
• Rancho Faculty Medical Associates, Inc.

  • General Acute Care Hospital
  • Downey, CA
  • NPI 1750317970
  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1245438332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 LAKEWOOD BLVD",
            "address_2": "SUITE A",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902403311",
            "telephone_number": "562-861-8999",
            "fax_number": "562-861-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 LAKEWOOD BLVD",
            "address_2": "SUITE A",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902403311",
            "telephone_number": "562-861-8999",
            "fax_number": "562-861-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN",
        "first_name": "KYI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A98231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A98231",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesus Antonio Samaniego
• Jose Mario Samaniego, DDS
• Sonja O. Samayoa
• Jocelyn Sampedro, MSN RNP
• Samuel Liu, M.D. Inc.
• Maricela Sanchez Salgado
• Nayelly Sanchez-Gonzalez
• Cathy Sanchez Sanchez-Latin, LCSW
• Claudia Sanchez-Zaragoza
• Amanda Nicole Sanchez

• Internal Medicine Physician in Downey, CA
• Providers in Downey, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.