Individual provider Active NPI

Mya Kyaw, M.D.

  • Psychiatry Physician
  • San Jose, CA
National Provider Identifier
1952408247
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A88326 Issued in CA
Practice address
820 Enborg CT Unit 400
San Jose, CA 95128-2644
Phone
(408) 885-6140
NPI assigned
Sep 20, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A88326 CA Primary

Addresses

Primary practice location

820 Enborg CT Unit 400
San Jose, CA 95128-2644

Mailing address

820 Enborg CT Unit 400
San Jose, CA 95128-2644
Phone (408) 885-6140

Other identifiers 1

IdentifierTypeStateIssuer
A88326OtherCALICENSE

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
I20050907001155 CA Practitioner - Psychiatry 0547292831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians

Practice addresses (Care Compare)

751 S Bascom Ave
San Jose, CA 95128-2604

Merit-based Incentive Payment System (MIPS)

Final score
61 of 100Reported as group
Quality
59.41
Promoting interoperability
0
Improvement activities
40
Cost
71.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88326CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Jun 10, 2012 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Jun 10, 2012 Accepting new patients
County of Santa Clara Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

1215 1st St
Gilroy, CA 95020
Phone (408) 686-2360

1075 E Santa Clara St
San Jose, CA 95116
Phone (408) 299-6175

1650 Las Plumas Ave
Ste K
San Jose, CA 95133
Phone (408) 272-6726

1887 Monterey Hwy
Ste 205
San Jose, CA 95112
Phone (408) 494-1561

2221 Enborg Ln
San Jose, CA 95128
Phone (408) 885-6220

650 S Bascom Ave
San Jose, CA 95128
Phone (408) 283-8555

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

820 Enborg Ct
San Jose, CA 95128
Phone (408) 885-6161

820 Enborg Ct
Unit 400
San Jose, CA 95128
Phone (408) 885-6140

840 Guadalupe Pkwy
San Jose, CA 95110
Phone (408) 299-3166

871 Enborg Ct
San Jose, CA 95128
Phone (408) 885-6100

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Interoperability endpoints

  • Direct secure messaging: mkyaw5860@santaclaravalley.direct-ci.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1952408247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 ENBORG CT UNIT 400",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282644",
            "telephone_number": "408-885-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 ENBORG CT UNIT 400",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282644",
            "telephone_number": "408-885-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYAW",
        "first_name": "MYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A88326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A88326",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.