Individual provider Active NPI

Hannah Son, PA-C

  • Medical Physician Assistant
  • Orange, CA
National Provider Identifier
1114774130
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA64416 Issued in CA
Practice address
363 S Main St Ste 485
Orange, CA 92868-3813
Phone
(714) 835-4800
Fax
(714) 835-1900
NPI assigned
May 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA64416 CA Primary

Addresses

Primary practice location

363 S Main St Ste 485
Orange, CA 92868-3813

Mailing address

8135 Painter Ave Ste 103
Whittier, CA 90602-3171
Phone (562) 698-6888

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530002509 CA Practitioner - Physician Assistant 0042652406 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
64416CAMDDentist
PA64416CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Edward R. Alexson, M.D.,Inc Current Accepting new patients
Onoclogy Network of Orange County a Medical Group Inc PastSince Jun 15, 2025 Accepting new patients

Locations

1401 N Tustin Ave
Ste 220
Santa Ana, CA 92705
Phone (714) 543-6020

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1114774130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 PAINTER AVE STE 103",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906023171",
            "telephone_number": "562-698-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 S MAIN ST STE 485",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683813",
            "telephone_number": "714-835-4800",
            "fax_number": "714-835-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SON",
        "first_name": "HANNAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA64416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.