Individual provider Active NPI

Zaw Min, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Arcadia, CA
National Provider Identifier
1952410052
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A40852 Issued in CA
Practice address
612 W. Duarte Rd
Suite 402
Arcadia, CA 91007-9234
Phone
(626) 446-1894
Fax
(626) 446-8314
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A40852 CA Primary

Addresses

Primary practice location

612 W. Duarte Rd
Suite 402
Arcadia, CA 91007-9234

Mailing address

612 W. Duarte Rd
Suite 402
Arcadia, CA 91007-9234
Phone (626) 446-1894

Other identifiers 1

IdentifierTypeStateIssuer
00A408520MedicaidCA

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
I20100903000104 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5890870927 Practice locations: Arcadia, CA

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952410052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W. DUARTE RD",
            "address_2": "SUITE 402",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079234",
            "telephone_number": "626-446-1894",
            "fax_number": "626-446-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W. DUARTE RD",
            "address_2": "SUITE 402",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079234",
            "telephone_number": "626-446-1894",
            "fax_number": "626-446-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "ZAW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A40852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A408520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.