Individual provider Active NPI

Grace Han, OD

  • Optometrist
  • Pico Rivera, CA
National Provider Identifier
1962388264
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35944 Issued in CA
Practice address
4020 Rosemead Blvd Unit 22
Pico Rivera, CA 90660-1773
Phone
(213) 820-3971
NPI assigned
Aug 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35944 CA Primary

Addresses

Primary practice location

4020 Rosemead Blvd Unit 22
Pico Rivera, CA 90660-1773

Mailing address

4020 Rosemead Blvd Unit 22
Pico Rivera, CA 90660-1773
Phone (213) 820-3971

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
I20260312001717 CA Practitioner - Optometry 5799268256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4020 Rosemead Blvd
Unit 22
Pico Rivera, CA 90660-1773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Steven G Khwarg MD Prof Corp CurrentSince Jan 6, 2026 Accepting new patients

Locations

3055 Wilshire Blvd
Ste 100
Los Angeles, CA 90010
Phone (213) 383-0008

Organizations & group practices 1

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": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1962388264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 ROSEMEAD BLVD UNIT 22",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906601773",
            "telephone_number": "213-820-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 ROSEMEAD BLVD UNIT 22",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906601773",
            "telephone_number": "213-820-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "GRACE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pico Rivera, CA

Sources for this page

Verify at the official NPI Registry.