Individual provider Active NPI

Nu Khin, M.D.

  • Internal Medicine Physician
  • Alhambra, CA
National Provider Identifier
1881655199
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A063817 Issued in CA
Practice address
1212 E Main St
Suite #1
Alhambra, CA 91801-4161
Phone
(626) 281-7654
Fax
(626) 281-6083
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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 A063817 CA Primary

Addresses

Primary practice location

1212 E Main St
Suite #1
Alhambra, CA 91801-4161

Mailing address

8161 Johnston Rd
Anaheim, CA 92804-6727
Phone (626) 872-8627

Other identifiers 3

IdentifierTypeStateIssuer
110246819OtherCARAILROAD MEDICARE INDIVID
00A638170MedicaidCA
10957419OtherCACAQH

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
I20100910000504 CA Practitioner - Internal Medicine 4789763376 Practice locations: Alhambra, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63817CAMDGeneral Practice Dentistry
A063817CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nu Khin Medical Clinic PastSince Jan 1, 2000 Accepting new patients

Organizations & group practices 1

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1881655199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8161 JOHNSTON RD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046727",
            "telephone_number": "626-872-8627",
            "fax_number": "626-281-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 E MAIN ST",
            "address_2": "SUITE #1",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014161",
            "telephone_number": "626-281-7654",
            "fax_number": "626-281-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHIN",
        "first_name": "NU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A063817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE INDIVID",
            "identifier": "110246819",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A638170",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10957419",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.