Individual provider Active NPI

Song Yi Han, M.D.

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1104060375
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A137729 Issued in CA
Practice address
531 W College St
Los Angeles, CA 90012-2315
Phone
(213) 624-8411
NPI assigned
Apr 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A137729 CA Primary

Addresses

Primary practice location

531 W College St
Los Angeles, CA 90012-2315

Mailing address

210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (714) 347-1000

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151026001763 CA Practitioner - Anesthesiology 3577797711 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A137729CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Equity Anesthesia Anesthesiology CurrentSince Jul 1, 2020 Accepting new patients
Century Anesthesia Medical Group Anesthesiology CurrentSince Jan 6, 2018 Accepting new patients
Buena Vista Anesthesia Medical Group Anesthesiology CurrentSince Apr 16, 2018 Accepting new patients
West Hills Anesthesia and Perioperative Physicians Anesthesiology CurrentSince Jan 1, 2020 Accepting new patients

Locations

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

3711 Long Beach Blvd
Ste 101A
Long Beach, CA 90807
Phone (310) 963-9727

18133 Ventura Blvd
Ste 400
Tarzana, CA 91356
Phone (818) 462-0280

7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301

Organizations & group practices 4

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": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1104060375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "714-347-1000",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 W COLLEGE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122315",
            "telephone_number": "213-624-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "SONG",
        "middle_name": "YI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-30",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A137729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.