Individual provider Active NPI

Jun Han

  • Registered Dietitian
  • San Francisco, CA
National Provider Identifier
1194545178
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86145893
Practice address
845 Jackson St # B1
San Francisco, CA 94133-4851
Phone
(415) 677-2370
NPI assigned
Oct 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86145893 Primary

Addresses

Primary practice location

845 Jackson St # B1
San Francisco, CA 94133-4851

Mailing address

845 Jackson St # B1
San Francisco, CA 94133-4851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023002863 CA Practitioner - Registered Dietitian Or Nutrition Professional 6709319189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chinese Hospital AssociationGroup PAC ID 9436042413, 37 clinicians

Practice addresses (Care Compare)

845 Jackson St
B1
San Francisco, CA 94133-4851
Phone (415) 677-2370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chinese Hospital Association CurrentSince Oct 21, 2024 Accepting new patients
Chinese Hospital Association Current Accepting new patients
Chinese Hospital Association CurrentSince Oct 21, 2024 Accepting new patients
Chinese Hospital Association Current Accepting new patients

Locations

386 Gellert Blvd
Ste Bcd
Daly City, CA 94015
Phone (650) 761-3500

845 Jackson St
#B1
San Francisco, CA 94133
Phone (415) 677-2370

1800 31st Ave
San Francisco, CA 94122
Phone (415) 566-0633

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": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1194545178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 JACKSON ST # B1",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 JACKSON ST # B1",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334851",
            "telephone_number": "415-677-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "JUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86145893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.