Jooyoung Han, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E5685 Issued in CA

Practice address

5445 Del Amo Blvd Ste 102
Lakewood, CA 90712-2761

Phone

(562) 867-0811

Fax

(562) 866-4046

NPI assigned

Mar 28, 2017

Last updated

Jan 28, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Convalescent Podiatry Care a Professional CorporationGroup PAC ID 7315470036, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: convalescentpodiatrycare.jooyounghan@160917.advancedmd-direct.com

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allyson Barbara Fried, M.D., D.P.M.

  • Podiatrist
  • Lakewood, CA
  • NPI 1427402569
  Medicare reassignment
• Josana Joseph, P.A, D.P.M, P.C.C

  • Podiatrist
  • El Segundo, CA
  • NPI 1679789192
  Medicare reassignment
• Duc Tien Nguyen, D.P.M, D.C

  • Primary Podiatric Medicine Podiatrist
  • Garden Grove, CA
  • NPI 1245495498
  Medicare reassignment
• Martina Randall

  • Foot & Ankle Surgery Podiatrist
  • Burbank, CA
  • NPI 1104244243
  Medicare reassignment
• Craig M Roberts, DPM

  • Foot Surgery Podiatrist
  • Huntington Park, CA
  • NPI 1720010556
  Medicare reassignment
• Michael Shen

  • Podiatrist
  • Lakewood, CA
  • NPI 1366806291
  Medicare reassignment
• Scott Anthony Whitmore, D.P.M.

  • Podiatrist
  • Lakewood, CA
  • NPI 1528282563
  Medicare reassignment
• Hao Wu, D.P.M.

  • Podiatrist
  • Lakewood, CA
  • NPI 1558711812
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Convalescent Podiatry Care a Professional Corporation

  dba Convalescent Podiatry Care

  • Podiatrist
  • Lakewood, CA
  • NPI 1306606579
  Medicare reassignment Care Compare group NPD Authorized official
• Convalescent Podiatry Care

  • Podiatrist
  • Lakewood, CA
  • NPI 1568576528
  NPD (past)
• James F Eggold

  • Podiatrist
  • Riverside, CA
  • NPI 1720276058
  NPD (past)
• Brooklyn Hospital Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1962886515
  NPD (past)

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1023540325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 DEL AMO BLVD STE 102",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122761",
            "telephone_number": "562-867-0811",
            "fax_number": "562-866-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 DEL AMO BLVD STE 102",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122761",
            "telephone_number": "562-867-0811",
            "fax_number": "562-866-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "JOOYOUNG",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alizeyah Hallam
• Kanesha Hamilton, STUDENT CNM
• Lastarr Trinetta Hamilton, LVN
• Moketta Nasha Hamilton
• Ho Suk Han
• Marjorie R Handshuh, DDS
• Sterling M Hang, DC
• Hanger Prosthetics & Orthotics West Inc (Hanger Clinic)
• Hanley Hearing Centers
• Sonia Haro

• Podiatrist in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.