Active NPI
Yong Gyu Han, LAC
- Acupuncturist
- Menlo Park, CA
National Provider Identifier
1093472508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC19309
- Practice address
- 1220 University Dr # 202B
Menlo Park, CA 94025-4262 - Phone
- (408) 314-5472
- NPI assigned
- Nov 18, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC19309 | CA | Primary |
Addresses
Primary practice location
1220 University Dr # 202B
Menlo Park, CA 94025-4262
Mailing address
300 Baltic Cir Unit 322
Redwood City, CA 94065-2249
Phone (669) 529-7767
Other names 1
- Matthew Han
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC19309 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acubalance Acupuncture Corp. | Acupuncturist | Current | Accepting new patients |
| Medi Points Acupuncture | Acupuncturist | Past | Accepting new patients |
Locations
1220 University Dr
Ste 202B
Menlo Park, CA 94025
Phone (650) 400-8946
1220 University Dr
#202B
Menlo Park, CA 94025
Phone (408) 314-5472
182 S Murphy Ave
Sunnyvale, CA 94086
Phone (408) 329-9604
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.
-
- Acupuncturist
- Menlo Park, CA
- NPI 1003575317
-
- Acupuncturist
- Cupertino, CA
- NPI 1932553609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1093472508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 BALTIC CIR UNIT 322",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940652249",
"telephone_number": "669-529-7767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 UNIVERSITY DR # 202B",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254262",
"telephone_number": "408-314-5472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "YONG GYU",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-18",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC19309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MATTHEW",
"last_name": "HAN",
"credential": "LAC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.