Individual provider Active NPI

Richard Han, M.D.

  • Internal Medicine Physician
  • Buena Park, CA
National Provider Identifier
1821061466
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G79142 Issued in CA
Practice address
5832 Beach Blvd Unit 214
Buena Park, CA 90621-5501
Phone
(714) 523-7575
Fax
(714) 523-7585
NPI assigned
Feb 13, 2006
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G79142 CA Primary

Addresses

Primary practice location

5832 Beach Blvd Unit 214
Buena Park, CA 90621-5501

Mailing address

2654 W la Palma Ave
Anaheim, CA 92801-2601
Phone (714) 827-0700

Other identifiers 1

IdentifierTypeStateIssuer
00G791420MedicaidCA

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
I20040817000711 CA Practitioner - Internal MedicinePractitioner - Family Practice 0042283145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMG Medical Practice Group PCGroup PAC ID 8921578220, 3 clinicians
Friends Medical Group IncGroup PAC ID 3577536721, 3 clinicians

Practice addresses (Care Compare)

520 S Virgil Ave
Suite 507
Los Angeles, CA 90020-1452
Phone (213) 480-7770

5832 Beach Blvd
Unit 214
Buena Park, CA 90621-5501
Phone (714) 523-7575

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79142CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
RSH MD, a Professional Corporation Internal Medicine Current Accepting new patients
Friends Medical Group Inc. Internal Medicine CurrentSince Dec 15, 2017 Accepting new patients
Edward Medical Group, Inc Past Accepting new patients

Locations

2654 W La Palma Ave
Anaheim, CA 92801
Phone (714) 827-0700

5832 Beach Blvd
Unit 214
Buena Park, CA 90621
Phone (714) 486-2586

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: richard.han@950780053225476.direct.elationemr.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1821061466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2654 W LA PALMA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012601",
            "telephone_number": "714-827-0700",
            "fax_number": "714-827-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5832 BEACH BLVD UNIT 214",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906215501",
            "telephone_number": "714-523-7575",
            "fax_number": "714-523-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G79142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G791420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.