NPIMap

Individual provider Active NPI

Htay Win, M.D.

  • Internal Medicine Physician
  • Fremont, CA
National Provider Identifier
1881642155
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A88638 Issued in CA
Practice address
3458 Mowry Ave
Fremont, CA 94538-1422
Phone
(510) 793-1958
Fax
(510) 996-6566
NPI assigned
May 5, 2006
Last updated
Dec 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A88638 CA Primary

Addresses

Primary practice location

3458 Mowry Ave
Fremont, CA 94538-1422

Mailing address

PO Box 6101
Fremont, CA 94538-0622
Phone (510) 793-1958

Other names 1

  • Dr. Htay Win Fang I Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050628001328 CA Practitioner - Internal Medicine 1355387507 Practice locations: Fremont, CA; Hayward, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27001 Calaroga Ave
Suite 4
Hayward, CA 94545-4345
Phone (510) 793-1958

3458 Mowry Ave
Fremont, CA 94538-1422
Phone (510) 793-1958

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Win and Associate Inc Internal Medicine Current Accepting new patients
Inpatient Consultants of California, Inc. Internal Medicine PastSince Oct 1, 2002 Accepting new patients
First Surgical Consultants Medical Group Inc PastSince Aug 1, 2007 Accepting new patients
East Bay Medical Oncology-Hematology Associates, Inc. Past Accepting new patients
Inpatient Consultants of California, Inc Internal Medicine Past Accepting new patients

Locations

3458 Mowry Ave
Fremont, CA 94538
Phone (510) 793-1958

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hwin13918@direct.whhs.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Windsor Country Drive Care CenterFremont, CA, CCN 055885 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2024
Feb 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 11

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1881642155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6101",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945380622",
            "telephone_number": "510-793-1958",
            "fax_number": "510-996-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3458 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381422",
            "telephone_number": "510-793-1958",
            "fax_number": "510-996-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIN",
        "first_name": "HTAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A88638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HTAY",
            "last_name": "FANG",
            "middle_name": "WIN",
            "prefix": "DR.",
            "suffix": "I",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.