Individual provider Active NPI

Catherine Junghye Han, O.D.

  • Optometrist
  • Porter Ranch, CA
National Provider Identifier
1871685420
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11143T Issued in CA
Practice address
19733 Rinaldi St
Porter Ranch, CA 91326-4143
Phone
(818) 832-4646
Fax
(818) 368-9898
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11143T CA Primary

Addresses

Primary practice location

19733 Rinaldi St
Porter Ranch, CA 91326-4143

Mailing address

19733 Rinaldi St
Porter Ranch, CA 91326-4143
Phone (818) 832-4646

Other identifiers 1

IdentifierTypeStateIssuer
SD0111430MedicaidCA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041105000434 CA Practitioner - Optometry 2163485657 Reassigns benefits to 1 organization
Practice locations: Porter Ranch, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19733 Rinaldi St
Porter Ranch, CA 91326-4143
Phone (818) 832-4646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11143TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionmax Optometry Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871685420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19733 RINALDI ST",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264143",
            "telephone_number": "818-832-4646",
            "fax_number": "818-368-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19733 RINALDI ST",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264143",
            "telephone_number": "818-832-4646",
            "fax_number": "818-368-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "CATHERINE",
        "middle_name": "JUNGHYE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11143T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0111430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter Ranch, CA

Sources for this page

Verify at the official NPI Registry.