Individual provider Active NPI

Sherina Hwang Han-Khampraseuth, FNP-C

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1972285864
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95026242 Issued in CA
Practice address
2740 S Elm Ave
Fresno, CA 93706-5435
Phone
(559) 457-5200
NPI assigned
Aug 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95206744 CA
Family Nurse Practitioner 363LF0000X 95026242 CA Primary

Addresses

Primary practice location

2740 S Elm Ave
Fresno, CA 93706-5435

Mailing address

7069 N la Paz Ave
Fresno, CA 93722-3857
Phone (559) 430-7239

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230927002812 CA Practitioner - Nurse Practitioner 0840644613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

Practice addresses (Care Compare)

2740 S Elm Ave
Fresno, CA 93706-5435
Phone (559) 457-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista CurrentSince Oct 1, 2023 Accepting new patients
Clinica Sierra Vista CurrentSince Oct 1, 2023 Accepting new patients

Locations

1430 Truxtun Ave
Ste 400
Bakersfield, CA 93301
Phone 6616353050 ext. 2148

2400 Wible Rd
Ste 14
Bakersfield, CA 93304
Phone (661) 725-4780

7800 Niles St
Bakersfield, CA 93306
Phone (661) 328-4284

425 Del Sol Pkwy
Delano, CA 93215
Phone (661) 720-4011

1508 Garces Hwy
Ste 1
Delano, CA 93215
Phone (661) 725-4780

1945 N Fine Ave
Ste 100
Fresno, CA 93727
Phone (559) 457-5650

2760 S Elm Ave
Fresno, CA 93706
Phone (559) 457-5300

1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400

2740 S Elm Ave
Fresno, CA 93706
Phone (559) 457-5200

302 Fresno St
Ste 101
Fresno, CA 93706
Phone (559) 457-5700

8787 Hall Rd
Lamont, CA 93241
Phone (661) 845-3717

Organizations & group practices 3

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": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1972285864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7069 N LA PAZ AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223857",
            "telephone_number": "559-430-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 S ELM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937065435",
            "telephone_number": "559-457-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN-KHAMPRASEUTH",
        "first_name": "SHERINA",
        "middle_name": "HWANG",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95206744",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95026242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.