Organization Active NPI

Kyaw Min, M.D., Inc.

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1245973163
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KYAW MIN, M.D., INC.
Practice address
200 Jose Figueres Ave Ste 430
San Jose, CA 95116-1593
Phone
(408) 540-3933
NPI assigned
Apr 18, 2022
Last updated
Apr 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Authorized official

Name
Kyaw Min, MDNPI 1942604665
Title
Director
Phone
(408) 540-3933

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

200 Jose Figueres Ave Ste 430
San Jose, CA 95116-1593

Mailing address

200 Jose Figueres Ave Ste 430
San Jose, CA 95116-1593
Phone (408) 540-3933

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220615001420 CA Part B Supplier - Clinic/Group Practice 6608255021 Receives reassigned benefits from 1 practitioner
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

200 Jose Figueres Ave
Ste 430
San Jose, CA 95116
Phone (408) 540-3933

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1245973163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE STE 430",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161593",
            "telephone_number": "408-540-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE STE 430",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161593",
            "telephone_number": "408-540-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYAW MIN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "MIN",
        "authorized_official_first_name": "KYAW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-540-3933",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.