Hanabusa Ivf, Medical Corporation

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

Legal business name

HANABUSA IVF, MEDICAL CORPORATION

Doing business as

Hanabusa IVF. Medical Corporation

Practice address

4910 Directors PL Ste 150
San Diego, CA 92121-3801

Phone

(858) 480-5400

Fax

(858) 630-5552

NPI assigned

Feb 7, 2024

Organization subpart

No

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

Authorized official

Name

Peter Fuzesi

Title

Chief Operating Officer

Phone

(858) 480-5400

Specialties & licenses 1

Addresses

Other names 1

• Hanabusa IVF. Medical Corporation Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana Leblanc, MD

  • Obstetrics & Gynecology Physician
  • Henderson, NV
  • NPI 1861680308
  NPD (past)

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1528822855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 DIRECTORS PL STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213801",
            "telephone_number": "858-480-5400",
            "fax_number": "858-630-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 DIRECTORS PL STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213801",
            "telephone_number": "858-480-5400",
            "fax_number": "858-630-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANABUSA IVF, MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "FUZESI",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "858-480-5400"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanabusa IVF. Medical Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Somi Park Han, LMFT
• Sun Ok Han, PHARMACIST
• Taylor Han
• Tony S Han, MD
• Yue-Ling Eileen Han, L.AC.
• Robert Richard Hanbury
• Kimberly Lynn Hanby
• Karen Hancock Dunford, LMFT
• Courtney Hancock
• Jason Hancock

• Reproductive Endocrinology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Reproductive Endocrinology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.