Active NPI
John S Han
- Pain Medicine Physician
- Norwalk, CA
National Provider Identifier
1174743603
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Sep 20, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- C62909B
- Practice address
- 11832 Rosecrans Ave
2ND Floor
Norwalk, CA 90650-4107 - Phone
- (213) 216-3272
- NPI assigned
- Apr 26, 2007
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | C62909B | CA | Primary |
Addresses
Primary practice location
11832 Rosecrans Ave
2ND Floor
Norwalk, CA 90650-4107
Mailing address
8706 Hillcrest Cir
Buena Park, CA 90621-1079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C429090 | Medicaid | CA |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C62909B | CA | MD | Pain Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1174743603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8706 HILLCREST CIR",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906211079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11832 ROSECRANS AVE",
"address_2": "2ND FLOOR",
"city": "NORWALK",
"state": "CA",
"postal_code": "906504107",
"telephone_number": "213-216-3272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "JOHN",
"middle_name": "S",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "CA",
"license": "C62909B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C429090",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.