KYI LAY SAN MD
NPI 1851742118
Internal Medicine in Manteca, CA

Q: What is Kyi San's NPI number?

The NPI number for Kyi San is 1851742118. It was assigned to this individual provider in the NPPES registry on June 28, 2016.

Q: What is Kyi San's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kyi San was last updated on December 20, 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.

Active since June 28, 2016PECOS EnrolledAccepts Medicare Assignment

165 SAINT DOMINICS DR STE 201, MANTECA, CA 95337(209) 823-2345(209) 239-1154 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 20, 2021, Jul 10, 2019, Jun 28, 2016 (3 updates tracked since 2016).

On this page

About Kyi Lay San Md NPPES

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

KYI LAY SAN MD (NPI 1851742118) is an individual internal medicine provider in Manteca, California, licensed in California (A159779) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1851742118

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameKYI LAY SANCredential: MD

Location Address165 SAINT DOMINICS DR STE 201Manteca, CA 95337-7802

Mailing Address10470 Old Placerville Rd Ste 100Sacramento, CA 95827-2539 · (800) 470-0071

Phone(209) 823-2345

Fax(209) 239-1154

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJune 28, 2016

Last NPPES UpdateDecember 20, 20213 updates tracked since enumeration

✔ NPI 1851742118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A159779

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

165 SAINT DOMINICS DR STE 201, Manteca, CA 95337

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyi Lay San Md 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 ID547504102

PECOS Enrollment IDI20190805002612

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95337 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYED RAHMAN M.D.

Family Medicine