Individual provider Active NPI

Thein Htay, M.D.

  • Internal Medicine Physician
  • Alhambra, CA
National Provider Identifier
1861594228
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A 77109 Issued in CA
Practice address
35 Garfield Ave.
Alhambra, CA 91801
Phone
(626) 458-8818
Fax
(626) 458-8198
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X A77109 CA
Internal Medicine Physician 207R00000X A 77109 CA Primary

Addresses

Primary practice location

35 Garfield Ave.
Alhambra, CA 91801

Mailing address

14633 Mountain Spring St
Hacienda Heights, CA 91745-2648
Phone (626) 369-2351

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
I20040804001919 CA Practitioner - Internal MedicinePractitioner - Other (Physician) 4789655457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Life Cardiac Center Medical CorporationGroup PAC ID 2860491859, 4 clinicians

Practice addresses (Care Compare)

35 S Garfield Ave
Alhambra, CA 91801-3830
Phone (626) 458-8818

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A 77109CAMDInternal Medicine Physician
A77109CAMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Life Cardiac Center Medical Corporation CurrentSince Oct 1, 2006 Accepting new patients
East Los Angeles Clinica Medica General Medical Center Inc Past Accepting new patients

Locations

35 S Garfield Ave
Alhambra, CA 91801
Phone (626) 458-8818

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1861594228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14633 MOUNTAIN SPRING ST",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917452648",
            "telephone_number": "626-369-2351",
            "fax_number": "626-369-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 GARFIELD AVE.",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "91801",
            "telephone_number": "626-458-8818",
            "fax_number": "626-458-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HTAY",
        "first_name": "THEIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CA",
            "license": "A77109",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A 77109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.