SANDAR KYI (NPI# 1821258922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821258922 |
| Entity Type | Individual |
| Full Name | SANDAR KYI |
| Credential | MD |
| Practice Address |
2499 E Lakeshore Dr Lake Elsinore CA 92530-4446 |
| Practice Telephone | 9514714200 |
| Mailing Telephone | 9512080058 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2011-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A96661 | CA | Ambulatory Health Care Facilities |
| Street Address |
2499 E LAKESHORE DR |
| City | LAKE ELSINORE |
| State | CA |
| Zip Code | 92530-4446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790776029 | County of Riverside-community Health Agency | Internal Medicine | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2005-11-04 |
| 1801381132 | Valencia Youkhanna | Psychologist | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4411 | 2018-06-28 |
| 1730625294 | Stephanie Ann Ellis | Social Worker | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2017-01-09 |
| 1578017380 | Kristine Joy Ventura | Registered Nurse | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4411 | 2016-08-09 |
| 1952584559 | Sharron Lee Schrenk | Registered Nurse | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2007-12-06 |
| 1831370303 | Iliam Amalia Cisneros | Registered Nurse | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2007-11-26 |
| 1518148576 | Craig Demers | Registered Nurse | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2007-11-19 |
| 1407925209 | Reginald R Peters | Physician Assistant | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2006-11-07 |
| 1396859179 | County of Riverside | Public Health or Welfare | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2006-08-18 |
| 1033122601 | Michael C Lam | Internal Medicine | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2006-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1700423779 | Karrene Louise Stanard | Peer Specialist | 31764 Casino Drive, Suite 300, Lake Elsinore, CA 92530 | 2019-12-09 |
| 1972149961 | Danielle Cravalho | Student in an Organized Health Care Education/Training Program | 31964 Mission Trail, Suite B, Lake Elsinore, CA 92530 | 2019-11-25 |
| 1952825648 | R.e. Levi Dental Corporation | Dentist | 32235 Mission Trail # 8, Lake Elsinore, CA 92530 | 2017-08-03 |
| 1144760729 | Alfred Metwashla | Pharmacist | 18269 Collier Ave, Lake Elsinore, CA 92530 | 2017-03-02 |
| 1750788733 | Roxanne Martinez | Case Manager/Care Coordinator | 31764 Casino Drive, Lake Elsinore, CA 92530 | 2014-11-19 |
| 1871870907 | Bryan Tuan Tran | Pharmacist | 160 Diamond Drive, Lake Elsinore, CA 92530 | 2011-11-03 |
| 1043590821 | Katherynn Elizabeth Williams | Marriage & Family Therapist | 600 Central Ave Ste 201, Lake Elsinore, CA 92530 | 2011-08-24 |
| 1861771677 | Judy Kelly | Marriage & Family Therapist | 224 West Graham Ave, Lake Elsinore, CA 92530 | 2011-08-10 |
| 1427343813 | Patrick Chern | Pharmacist | 18287 Collier Ave., Lake Elsinore, CA 92530 | 2011-06-14 |
| Find all providers in zip 92530 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
| 1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
| 1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ELSINORE |
| Zip Code | 92530 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.