Active NPI
Angela D Han, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- San Marcos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95002939
- Practice address
- 150 Valpreda Rd
San Marcos, CA 92069-2973 - Phone
- (760) 736-6780
- NPI assigned
- Apr 17, 2008
- Last updated
- Jul 7, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP30008032 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95002939 | CA | Primary |
Addresses
Primary practice location
150 Valpreda Rd
San Marcos, CA 92069-2973
Mailing address
150 Valpreda Rd
San Marcos, CA 92069-2973
Phone (760) 736-6780
Other practice location 1
7220 Trade St Ste 215
San Diego, CA 92121-2326
Phone (858) 727-9056
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95002939 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Muir Physician Network | Current | Accepting new patients | |
| Green Waves Psychiatry Nursing Inc | Psychiatric/Mental Health | Current | Accepting new patients |
| North County Health Project Inc | Past | Accepting new patients |
Locations
2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112
10531 4S Commons Dr
Ste 166445
San Diego, CA 92127
7220 Trade St
Ste 215
San Diego, CA 92121
Phone (858) 727-9056
8400 Miramar Rd
Ste 200230A
San Diego, CA 92126
1450 Treat Blvd
Ste 200
Walnut Creek, CA 94597
Phone (925) 296-7340
Interoperability endpoints
- ahan48974@ehr.johnmuirhealth.com
- ahan642899@direct.ochin.org
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.
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1841407665
-
- Psychiatric/Mental Health Nurse Practitioner
- San Diego, CA
- NPI 1851000103
-
dba TrueCare
- Federally Qualified Health Center (FQHC)
- Ramona, CA
- NPI 1073529681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1629242839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 VALPREDA RD",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920692973",
"telephone_number": "760-736-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 VALPREDA RD",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920692973",
"telephone_number": "760-736-6780"
}
],
"practiceLocations": [
{
"address_1": "7220 Trade St Ste 215",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921212326",
"country_code": "US",
"telephone_number": "858-727-9056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAN",
"first_name": "ANGELA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-17",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP30008032",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95002939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.