Individual provider Active NPI

Yeongmin Han, DPT

  • Physical Therapist
  • Lodi, CA
National Provider Identifier
1730710831
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT297790 Issued in CA
Practice address
2401 W Turner Rd Ste 250
Lodi, CA 95242-2192
Phone
(209) 334-2224
Fax
(209) 334-2225
NPI assigned
Jan 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT297790 CA Primary

Addresses

Primary practice location

2401 W Turner Rd Ste 250
Lodi, CA 95242-2192

Mailing address

26365 Delgado Ave
Loma Linda, CA 92354-4185
Phone (630) 441-7287

Other practice location 1

26365 Delgado Ave
Loma Linda, CA 92354-4185
Phone (630) 441-7287

Other practice location 2

6850 Brockton Ave Ste 212
Riverside, CA 92506-3815
Phone (951) 534-0600

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
297790CAMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1730710831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26365 DELGADO AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544185",
            "telephone_number": "630-441-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W TURNER RD STE 250",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952422192",
            "telephone_number": "209-334-2224",
            "fax_number": "209-334-2225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26365 Delgado Ave",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923544185",
            "country_code": "US",
            "telephone_number": "630-441-7287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6850 Brockton Ave Ste 212",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925063815",
            "country_code": "US",
            "telephone_number": "951-534-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "YEONGMIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-28",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT297790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.

Verify at the official NPI Registry.