Individual provider Active NPI

Yohan Han Hwang

  • Family Nurse Practitioner
  • Chula Vista, CA
National Provider Identifier
1609515642
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95021095 Issued in CA
Practice address
1208 Corte Mendi
Chula Vista, CA 91913-3547
Phone
(213) 663-8836
NPI assigned
May 28, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95021095 CA Primary

Addresses

Primary practice location

1208 Corte Mendi
Chula Vista, CA 91913-3547

Mailing address

1208 Corte Mendi
Chula Vista, CA 91913-3547

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20230515000596 CA Practitioner - Nurse Practitioner 7012373244 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Olive Tree Nursing CorporationGroup PAC ID 1759871874, 4 clinicians
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

Lemon Grove, CA 91945
Phone (213) 663-8836

4647 Zion Ave
San Diego, CA 92120-2507
Phone (619) 528-5000

7227 Broadway
Suite 402
Lemon Grove, CA 91945-1505
Phone (619) 253-6451

Hospital & facility affiliations

  • Good Samaritan Home Health Inc Home health agency, National City, CA, CCN 757272
  • Vital Care Health Systems Home health agency, San Diego, CA, CCN 059398
  • Active Health Services Home health agency, San Diego, CA, CCN 059672
  • Belle Vie Home Health Inc Home health agency, El Cajon, CA, CCN 053158
  • Healthwise Home Health Care Inc Home health agency, National City, CA, CCN 059418

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95021095CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Dec 6, 2023 Accepting new patients
Careconnectmd Ca PC CurrentSince Jun 16, 2023 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 6, 2023 Accepting new patients
Olive Tree Nursing Corporation CurrentSince Sep 27, 2025 Accepting new patients
Cristina Tobon-Chung FNP a Professional Medical Corporation CurrentSince Apr 16, 2023 Accepting new patients
Cristina Tobon-Chung FNP a Professional Nursing Corporation CurrentSince Aug 15, 2024 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

7227 Broadway
Ste 402
Lemon Grove, CA 91945
Phone (619) 253-6451

7227 Broadway
Ste 405
Lemon Grove, CA 91945
Phone (213) 663-8836

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1653696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1609515642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 CORTE MENDI",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919133547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 CORTE MENDI",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919133547",
            "telephone_number": "213-663-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN HWANG",
        "first_name": "YOHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-28",
        "last_updated": "2023-10-27",
        "certification_date": "2022-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4647 Zion Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921202507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.