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HAN SU MYAT
NPI 1114507902
Student in an Organized Health Care Education/Training Program in Fontana, CA

Active since April 14, 2021PECOS EnrolledAccepts Medicare Assignment
17234 VALLEY BLVD BUILDING A, FONTANA, CA 92335(626) 927-7609 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 6, 2021, Apr 14, 2021 (2 updates tracked since 2021).

About Han Su Myat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAN SU MYAT (NPI 1114507902) is an individual student in an organized health care education/training program in Fontana, California and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1114507902
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameHAN SU MYAT
Location Address17234 VALLEY BLVD BUILDING AFontana, CA 92335-6720
Mailing Address17234 Valley Blvd Building AFontana, CA 92335-6720
Phone(626) 927-7609
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 14, 2021
Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration
NPPES CertifiedApril 14, 2021
✔ NPI 1114507902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
17234 VALLEY BLVD BUILDING A, Fontana, CA 92335
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Han Su Myat is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719376763
PECOS Enrollment IDI20241209000598
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Han Su Myat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
0.2 mi
Health Maintenance Organization
9961 SIERRA AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1689606196 (909) 427-3910

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Han Su Myat's NPI number?

The NPI number for Han Su Myat is 1114507902. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Where is Han Su Myat located?

Han Su Myat practices at 17234 Valley Blvd Building A, Fontana, CA 92335. The listed phone number is (626) 927-7609.

What is Han Su Myat's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Han Su Myat enrolled in Medicare?

Yes. Han Su Myat is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Han Su Myat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Han Su Myat reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Han Su Myat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Han Su Myat was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.