Soe-Moe Kyaw, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A67965 Issued in CA

Practice address

876 N Mountain Ave
Ste.200
Upland, CA 91786-4166

Phone

(909) 931-3388

Fax

(909) 931-7311

NPI assigned

Jun 8, 2006

Last updated

Jun 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Psychiatry

Education

University of Southern California Keck School of Medicine, 1991

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Mountain View Behavioral Health IncGroup PAC ID 4385725266, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Mountain View Behavioral Health,Inc.

  • Mental Health Counselor
  • Upland, CA
  • NPI 1043391295
  Medicare reassignment Care Compare group NPD
• Ashleywilliams Counseling, Inc

  • Community/Behavioral Health Agency
  • Cerritos, CA
  • NPI 1174807408
  NPD (past)
• Windstone Behavioral Health

  • Psychiatry Physician
  • Garden Grove, CA
  • NPI 1174607626
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1871534461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 N MOUNTAIN AVE",
            "address_2": "STE.200",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864166",
            "telephone_number": "909-931-3388",
            "fax_number": "909-931-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 N MOUNTAIN AVE",
            "address_2": "STE.200",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864166",
            "telephone_number": "909-931-3388",
            "fax_number": "909-931-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYAW",
        "first_name": "SOE-MOE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A67965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yung Jen Kuo, FNP
• KVL Logistics LLC
• KVL Med Transport LLC
• Kelly Kwok
• Hye Jin Kwon, L.AC.
• Carissa Ladwig-Cox, PA-C
• Yin Hsiung Lai, MD
• Martin Winata Laksana, D.D.S.
• Tracy Lam-Luu, DC
• Shannon Lambert, MPAS, PA-C

• Child & Adolescent Psychiatry Physician in Upland, CA
• Providers in Upland, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.