Individual provider Active NPI

Wenchiang Han, M.D.

  • Specialist
  • Marysville, CA
National Provider Identifier
1477545721
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A73066 Issued in CA
Practice address
414 G St
Suite 112
Marysville, CA 95901-5663
Phone
(530) 749-8801
Fax
(530) 749-8809
NPI assigned
Aug 22, 2005
Last updated
Jul 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A73066 CA Primary

Addresses

Primary practice location

414 G St
Suite 112
Marysville, CA 95901-5663

Mailing address

414 G St
Suite 112
Marysville, CA 95901-5663
Phone (530) 749-8801

Other identifiers 2

IdentifierTypeStateIssuer
81-0571721OtherCATAX ID #
00A730660MedicaidCA

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
I20070810000803 CA Practitioner - Neurology 6305937905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

870 Shasta St
Suite 400
Yuba City, CA 95991-4117
Phone (530) 749-8801

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.06 of 100Reported as individual
Quality
98.12
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A73066CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Wenchiang Han, M.D., Inc. Specialist CurrentSince Jul 11, 2011 Accepting new patients
Albert C. Lee, M.D., P.C. PastSince Mar 20, 1997 Accepting new patients
Rideout Memorial Hospital Past Accepting new patients

Locations

414 G St
Ste 112
Marysville, CA 95901
Phone (530) 674-8031

870 Shasta St
Ste 400
Yuba City, CA 95991
Phone (530) 749-8801

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1477545721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 G ST",
            "address_2": "SUITE 112",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015663",
            "telephone_number": "530-749-8801",
            "fax_number": "530-749-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 G ST",
            "address_2": "SUITE 112",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015663",
            "telephone_number": "530-749-8801",
            "fax_number": "530-749-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "WENCHIANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A73066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "81-0571721",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A730660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

Verify at the official NPI Registry.