Individual provider Active NPI

Myo Aung, M.D.

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1255366837
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A44476 Issued in CA
Practice address
201 S Alvarado St
825
Los Angeles, CA 90057-2320
Phone
(213) 484-1300
Fax
(213) 484-1313
NPI assigned
Jul 11, 2006
Last updated
Jul 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A44476 CA Primary

Addresses

Primary practice location

201 S Alvarado St
825
Los Angeles, CA 90057-2320

Mailing address

28920 Fountainwood St
Agoura Hills, CA 91301-1726
Phone (818) 519-3498

Other identifiers 1

IdentifierTypeStateIssuer
00A444760MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061005000210 CA Practitioner - NephrologyPractitioner - Internal Medicine 3678579257 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

648 N St Andrews PL
Los Angeles, CA 90004-1704
Phone (310) 448-2693

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A44476CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
John R Chalison MD a Medical Corporation Past Accepting new patients
Dignity Community Care Past Accepting new patients
Gala Dialysis, LLC PastSince Jun 1, 2010 Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Grand Anesthesia and Nursing Services Inc Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1255366837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28920 FOUNTAINWOOD ST",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011726",
            "telephone_number": "818-519-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ALVARADO ST",
            "address_2": "825",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572320",
            "telephone_number": "213-484-1300",
            "fax_number": "213-484-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUNG",
        "first_name": "MYO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A44476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A444760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.