Active NPI
Susan Xiaoping Han, NP
- Family Nurse Practitioner
- Pleasanton, CA
National Provider Identifier
1871027276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11195
- Practice address
- 215 Abbie St
Pleasanton, CA 94566-7343 - Phone
- (925) 426-4290
- NPI assigned
- Apr 12, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11195 | CA | Primary |
Addresses
Primary practice location
215 Abbie St
Pleasanton, CA 94566-7343
Mailing address
5049 Lynbrook CT
Pleasanton, CA 94588-4256
Phone (925) 519-3904
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
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1871027276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5049 LYNBROOK CT",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945884256",
"telephone_number": "925-519-3904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 ABBIE ST",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945667343",
"telephone_number": "925-426-4290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "SUSAN",
"middle_name": "XIAOPING",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-12",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "11195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.