Individual provider Active NPI

Hana Chun, NP

  • Gerontology Nurse Practitioner
  • Chino, CA
National Provider Identifier
1548080161
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
NP95030296 Issued in CA
Practice address
13768 Roswell Ave Ste 118
Chino, CA 91710-1402
Phone
(909) 591-8200
NPI assigned
Oct 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X NP95030296 CA Primary

Addresses

Primary practice location

13768 Roswell Ave Ste 118
Chino, CA 91710-1402

Mailing address

1137 Fairview Ave Unit C
Arcadia, CA 91007-7060
Phone (310) 570-6895

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
I20250210002319 CA Practitioner - Nurse Practitioner 2365855491 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95030296CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Totalcare Walk in Clinic Inc CurrentSince Dec 6, 2024 Accepting new patients

Locations

13768 Roswell Ave
Ste 118
Chino, CA 91710
Phone (909) 591-8200

2097 E Washington St
Ste 1C
Colton, CA 92324
Phone (909) 253-0841

1973 Foothill Pkwy
Unit 104
Corona, CA 92881
Phone (951) 460-2300

13334 Limonite Ave
Ste 130
Eastvale, CA 92880
Phone (951) 407-1460

Interoperability endpoints

  • Direct secure messaging: hana.chun.1@3488.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3488/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1548080161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 FAIRVIEW AVE UNIT C",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077060",
            "telephone_number": "310-570-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE STE 118",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101402",
            "telephone_number": "909-591-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "HANA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "NP95030296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.