Active NPI
Song Yun Vanessa Han, PHARM.D.
- Pharmacist
- Pasadena, CA
National Provider Identifier
1568777340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 64144
- Practice address
- 1855 N Fair Oaks Ave
#200
Pasadena, CA 91103-1620 - Phone
- (626) 398-6300
- NPI assigned
- Aug 17, 2010
- Last updated
- Aug 17, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 64144 | CA | Primary |
Addresses
Primary practice location
1855 N Fair Oaks Ave
#200
Pasadena, CA 91103-1620
Mailing address
PO Box 1293
Alhambra, CA 91802
Phone (808) 398-8684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64144 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KTP Foot and Ankle Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot & Ankle Surgery Podiatrist
- Pasadena, CA
- NPI 1508427972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282003200000",
"number": "1568777340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1293",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "91802",
"telephone_number": "808-398-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 N FAIR OAKS AVE",
"address_2": "#200",
"city": "PASADENA",
"state": "CA",
"postal_code": "911031620",
"telephone_number": "626-398-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "SONG YUN",
"middle_name": "VANESSA",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-17",
"last_updated": "2010-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "64144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.