Individual provider Active NPI

Ewan Ho, FNP-BC

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1629836663
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95029078 Issued in CA
Practice address
650 University Ave Ste 200
Sacramento, CA 95825-6726
Phone
(916) 571-5200
NPI assigned
Mar 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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 95029078 CA Primary

Addresses

Primary practice location

650 University Ave Ste 200
Sacramento, CA 95825-6726

Mailing address

8320 Alpine Laurel Way
Sacramento, CA 95829-8140
Phone (916) 753-5714

Other practice location 1

8320 Alpine Laurel Way
Sacramento, CA 95829-8140
Phone (916) 753-5714

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
I20250617003114 CA Practitioner - Nurse Practitioner 9537670401 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Haumea Medical, Inc. CurrentSince Apr 6, 2025 Accepting new patients
Medical Dermatology & Cosmetic Clinic of Northern California CurrentSince Feb 1, 2026 Accepting new patients

Locations

1257 Pleasant Grove Blvd
Ste 110
Roseville, CA 95678
Phone (916) 980-6814

650 University Ave
Ste 200
Sacramento, CA 95825
Phone (916) 571-5200

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": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1629836663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 ALPINE LAUREL WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958298140",
            "telephone_number": "916-753-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 UNIVERSITY AVE STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256726",
            "telephone_number": "916-571-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8320 Alpine Laurel Way",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958298140",
            "country_code": "US",
            "telephone_number": "916-753-5714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "EWAN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.