Individual provider Active NPI

Amy Han, MD

  • Dermatology Physician
  • Chula Vista, CA
National Provider Identifier
1710945365
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A94658 Issued in CA
Practice address
319 F Street
102
Chula Vista, CA 91910
Phone
(619) 476-1200
Fax
(619) 420-7849
NPI assigned
May 3, 2006
Last updated
May 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A94658 CA Primary

Addresses

Primary practice location

319 F Street
102
Chula Vista, CA 91910

Mailing address

2289 Green River Dr
Chula Vista, CA 91915
Phone (216) 593-0098

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060807000478 CA Practitioner - Dermatology 4486657756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, San Francisco School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Laser Center of San DiegoGroup PAC ID 5395748669, 9 clinicians

Practice addresses (Care Compare)

344 F St
Suite 200
Chula Vista, CA 91910-2646
Phone (619) 476-1200

4060 4TH Ave
Suite 209
San Diego, CA 92103-2120
Phone (619) 298-9535

6386 Alvarado CT
Suite 205
San Diego, CA 92120-4907
Phone (619) 229-0361

Merit-based Incentive Payment System (MIPS)

Final score
53.94 of 100Reported as group
Quality
0
Improvement activities
40
Cost
79.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions50
Skin biopsy33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A94658CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monica Perlman MD Inc. CurrentSince Jun 23, 2025 Accepting new patients
Dermatology & Laser Center of San Diego Dermatology CurrentSince Jul 1, 2006 Accepting new patients
Scripps Health Current Accepting new patients
UC San Diego Health - Rancho Family Medical Group Past Accepting new patients

Locations

319 F St
Ste 102
Chula Vista, CA 91910
Phone (619) 476-1200

344 F St
Ste 200
Chula Vista, CA 91910
Phone (619) 476-1200

9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800

3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855

3900 5th Ave
Ste 110
San Diego, CA 92103
Phone (619) 291-5474

3900 5th Ave
Ste 140
San Diego, CA 92103
Phone (619) 365-9959

4060 4th Ave
Ste 209
San Diego, CA 92103
Phone (619) 298-9535

6386 Alvarado Ct
Ste 205
San Diego, CA 92120
Phone (619) 229-0361

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ahan81097@scrippshlth.medalliesdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1710945365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2289 GREEN RIVER DR",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91915",
            "telephone_number": "216-593-0098",
            "fax_number": "619-420-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 F STREET",
            "address_2": "102",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91910",
            "telephone_number": "619-476-1200",
            "fax_number": "619-420-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A94658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.