Individual provider Active NPI

Khine Thinzar Hlaing, FNP-BC

  • Family Nurse Practitioner
  • San Ramon, CA
National Provider Identifier
1942913561
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95023603 Issued in CA
Practice address
2455 San Ramon Valley Blvd
San Ramon, CA 94583-1601
Phone
(925) 820-7325
NPI assigned
Dec 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95023603 CA Primary

Addresses

Primary practice location

2455 San Ramon Valley Blvd
San Ramon, CA 94583-1601

Mailing address

2455 San Ramon Valley Blvd
San Ramon, CA 94583-1601
Phone (925) 820-7325

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230508000142 CA Practitioner - Nurse Practitioner 6406211804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ravi Panjabi, IncGroup PAC ID 4183689680, 3 clinicians

Practice addresses (Care Compare)

3160 Castro Valley Blvd
Castro Valley, CA 94546-5564
Phone (510) 582-8555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ravi Panjabi Inc Nurse Practitioner CurrentSince May 1, 2025 Accepting new patients

Locations

3160 Castro Valley Blvd
Castro Valley, CA 94546
Phone (510) 582-8555

3160 Castro Valley Blvd
Ste A
Castro Valley, CA 94546
Phone (510) 582-8555

19850 Lake Chabot Rd
Castro Valley, CA 94546
Phone (510) 537-5333

3155 Kearney St
Ste 138
Fremont, CA 94538
Phone (510) 582-8555

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": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1942913561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 SAN RAMON VALLEY BLVD",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831601",
            "telephone_number": "925-820-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 SAN RAMON VALLEY BLVD",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831601",
            "telephone_number": "925-820-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HLAING",
        "first_name": "KHINE",
        "middle_name": "THINZAR",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2024-05-23",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.