Active NPI
Kyaw Zin (Kennis) Htet
- Dermatology Physician
- San Francisco, CA
National Provider Identifier
1821799669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 2087008
- Practice address
- 1701 Divisadero St FL 4
San Francisco, CA 94115-3011 - Phone
- (415) 353-7880
- NPI assigned
- Mar 16, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 2087008 | CA | Primary |
Addresses
Primary practice location
1701 Divisadero St FL 4
San Francisco, CA 94115-3011
Mailing address
2831 Saint Thomas St
New Orleans, LA 70115-1031
Phone (504) 452-6682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2087008 | CA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1821799669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2831 SAINT THOMAS ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701151031",
"telephone_number": "504-452-6682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 DIVISADERO ST FL 4",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153011",
"telephone_number": "415-353-7880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HTET",
"first_name": "KYAW ZIN (KENNIS)",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-16",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "2087008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.