Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khaingthazin San, MD

Individual provider Endocrinology, Diabetes & Metabolism Physician · NPI 1508387630

Khaingthazin San, MD is an Internal Medicine in Brooklyn, New York. Qualified in 2009, 17 years ago. Practices with Golden Valley Health Centers, a 110-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone: (718) 616-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1545 Atlantic Ave, Brooklyn, NY 11213-1122 — (171) 861-3400

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence A167089 (CA)

Record details

NPI number1508387630
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 28, 2017
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesENDOCRINOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Golden Valley Health Centers — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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