Individual provider Active NPI

Wonkyung Han

  • Nurse Practitioner
  • Westminster, CA
National Provider Identifier
1629808332
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95031513 Issued in CA
Practice address
210 Hospital Cir Ste D
Westminster, CA 92683-3900
Phone
(714) 890-3600
NPI assigned
Aug 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95031513 CA Primary

Addresses

Primary practice location

210 Hospital Cir Ste D
Westminster, CA 92683-3900

Mailing address

20300 Via Manzanillo
Yorba Linda, CA 92887-3264
Phone (917) 361-4949

Other practice location 1

638 W Commonwealth Ave
Fullerton, CA 92832-1725
Phone (213) 805-5822

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

State licenses

LicenseStateTypeSpecialty
95031513CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
White Memorial Medical Center PastSince Aug 1, 2024 Accepting new patients
Han Orthopaedics Inc PastSince Aug 1, 2024 Accepting new patients

Organizations & group practices 2

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": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1629808332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20300 VIA MANZANILLO",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873264",
            "telephone_number": "917-361-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HOSPITAL CIR STE D",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833900",
            "telephone_number": "714-890-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "638 W Commonwealth Ave",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928321725",
            "country_code": "US",
            "telephone_number": "213-805-5822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "WONKYUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95031513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.