NPIMap

Individual provider Active NPI

Kyaw Lyn, MD

  • Internal Medicine Physician
  • West Covina, CA
National Provider Identifier
1902841166
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A54425 Issued in CA
Practice address
906 S Sunset Ave
Suite 101
West Covina, CA 91790-3400
Phone
(626) 960-1902
Fax
(626) 960-3982
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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 A54425 CA Primary

Addresses

Primary practice location

906 S Sunset Ave
Suite 101
West Covina, CA 91790-3400

Mailing address

906 S Sunset Ave
Suite 101
West Covina, CA 91790-3400
Phone (626) 960-1902

Other identifiers 1

IdentifierTypeStateIssuer
00A544250MedicaidCA

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
I20060112000417 CA Practitioner - Internal Medicine 7214950617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

906 S Sunset Ave
Suite 101
West Covina, CA 91790-3400
Phone (626) 960-1902

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A54425CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kyaw Lyn MD Inc Internal Medicine CurrentSince Dec 27, 2005 Accepting new patients
Doctors Hospital of West Covina, Inc. Past Accepting new patients
Southern California Specialty Care, LLC Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients

Locations

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

198 W Rte 66
Glendora, CA 91740

250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118

1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745

1115 S Sunset Ave
West Covina, CA 91790
Phone (626) 814-2434

906 S Sunset Ave
Ste 101
West Covina, CA 91790
Phone (626) 338-5581

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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 6

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1902841166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 S SUNSET AVE",
            "address_2": "SUITE 101",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903400",
            "telephone_number": "626-960-1902",
            "fax_number": "626-960-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 S SUNSET AVE",
            "address_2": "SUITE 101",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903400",
            "telephone_number": "626-960-1902",
            "fax_number": "626-960-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYN",
        "first_name": "KYAW",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A544250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.