Individual provider Active NPI

Mi-Hyun Sooyeon Han

  • Family Nurse Practitioner
  • Merced, CA
National Provider Identifier
1316451099
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95011785 Issued in CA
Practice address
847 W Childs Ave
Merced, CA 95341-6862
Phone
(866) 682-4842
NPI assigned
Nov 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X RN414826 OH
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X NP95011785 CA Primary

Addresses

Primary practice location

847 W Childs Ave
Merced, CA 95341-6862

Mailing address

737 W Childs Ave
Merced, CA 95341-6805
Phone (866) 682-4842

Other practice location 1

3101 Burnet Ave
Cincinnati, OH 45229-3014
Phone (513) 357-7289

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
I20191018000869 CA Practitioner - Nurse Practitioner 4789915992 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95011785CAMDFamily Nurse Practitioner
RN414826OHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Center Multi-Specialty Current Accepting new patients
Golden Valley Health Center Multi-Specialty Current Accepting new patients
Golden Valley Health Center Multi-Specialty Current Accepting new patients
Golden Valley Health Center Multi-Specialty Current Accepting new patients
Golden Valley Health Centers CurrentSince Aug 12, 2019 Accepting new patients
Golden Valley Health Center Multi-Specialty Current Accepting new patients
Golden Valley Health Center Multi-Specialty Current Accepting new patients
Golden Valley Health Center Multi-Specialty CurrentSince Aug 12, 2019 Accepting new patients
Golden Valley Health Centers Multi-Specialty Current Accepting new patients
Golden Valley Health Center Multi-Specialty Current Accepting new patients
Golden Valley Health Center Multi-Specialty Current Accepting new patients
Golden Valley Health Center Multi-Specialty Current Accepting new patients
Golden Valley Health Center Multi-Specialty Current Accepting new patients
Golden Valley Health Center Past Accepting new patients

Locations

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

847 W Childs Ave
Ste A
Merced, CA 95341
Phone (209) 383-7441

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

737 W Childs Ave
Merced, CA 95341
Phone (209) 383-1848

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1316451099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416805",
            "telephone_number": "866-682-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416862",
            "telephone_number": "866-682-4842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Burnet Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293014",
            "country_code": "US",
            "telephone_number": "513-357-7289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "MI-HYUN",
        "middle_name": "SOOYEON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "RN414826",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95011785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.