Active NPI
David Chang Min Ha
- Psychiatric/Mental Health Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1659923423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95012091
- Practice address
- 777 S Figueroa St Ste 810
Los Angeles, CA 90017-5813 - Phone
- (888) 588-8995
- NPI assigned
- Jul 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95012091 | CA | Primary |
Addresses
Primary practice location
777 S Figueroa St Ste 810
Los Angeles, CA 90017-5813
Mailing address
777 S Figueroa St Ste 810
Los Angeles, CA 90017-5813
Phone (888) 588-8995
Other practice location 1
595 Buckingham Way Ste 343
San Francisco, CA 94132-1911
Phone (888) 588-8995
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95012091 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foresight Mental Health | Psychiatric/Mental Health | Past | Accepting new patients |
Interoperability endpoints
- david.ha.1@25119.direct.athenahealth.com
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1659923423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 S FIGUEROA ST STE 810",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900175813",
"telephone_number": "888-588-8995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 S FIGUEROA ST STE 810",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900175813",
"telephone_number": "888-588-8995"
}
],
"practiceLocations": [
{
"address_1": "595 Buckingham Way Ste 343",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941321911",
"country_code": "US",
"telephone_number": "888-588-8995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HA",
"first_name": "DAVID",
"middle_name": "CHANG MIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-11",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95012091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.