Individual provider Active NPI

Hai Gu Han, L.AC.

  • Acupuncturist
  • Yucaipa, CA
National Provider Identifier
1073880241
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC14490 Issued in CA
Practice address
32387 Yucaipa Blvd Ste a
Yucaipa, CA 92399-1886
Phone
(909) 797-9020
Fax
(909) 363-0101
NPI assigned
Nov 16, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC14490 CA Primary

Addresses

Primary practice location

32387 Yucaipa Blvd Ste a
Yucaipa, CA 92399-1886

Mailing address

32387 Yucaipa Blvd, Ste F
Yucaipa, CA 92399-7953
Phone (909) 797-9020

Other identifiers 1

IdentifierTypeStateIssuer
1073880241OtherCAACUPUNCTURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC14490CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Han Acu & Herbs, Inc Acupuncturist CurrentSince Mar 12, 2023 Accepting new patients
Han Acu&Herbs, Inc Acupuncturist Current Accepting new patients

Locations

32387 Yucaipa Blvd
Ste F
Yucaipa, CA 92399
Phone (909) 797-9020

32387 Yucaipa Blvd
Ste A
Yucaipa, CA 92399
Phone (909) 797-9020

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1073880241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32387 YUCAIPA BLVD, STE F",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923997953",
            "telephone_number": "909-797-9020",
            "fax_number": "909-363-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32387 YUCAIPA BLVD STE A",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923991886",
            "telephone_number": "909-797-9020",
            "fax_number": "909-363-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "HAI",
        "middle_name": "GU",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-16",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "1073880241",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.