Individual provider Active NPI

Paul Y Han, DPM

  • Foot & Ankle Surgery Podiatrist
  • Santa Ana, CA
National Provider Identifier
1972506988
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3270 Issued in CA
Practice address
2621 S Bristol St
Ste 209
Santa Ana, CA 92704-5719
Phone
(714) 850-1300
Fax
(714) 850-1301
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E3270 CA Primary

Addresses

Primary practice location

2621 S Bristol St
Ste 209
Santa Ana, CA 92704-5719

Mailing address

PO Box 8877
Fountain Valley, CA 92728-8877
Phone (714) 850-1300

Other practice location 1

1500 Duarte Rd
Duarte, CA 91010-3012
Phone (800) 826-4673

Other identifiers 2

IdentifierTypeStateIssuer
000E32700MedicaidCA
000E32700OtherCABLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@cityofhope.direct-ci.com Direct CITY OF HOPE MEDICAL FOUNDATION

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
I20100112000169 CA Practitioner - Podiatry 1153460696 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians

Practice addresses (Care Compare)

1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673

21500 Pioneer Blvd
Suite 107
Hawaiian Gardens, CA 90716-2600
Phone (562) 402-5311

Hospital & facility affiliations

  • City of Hope Helford Clinical Research Hospital Hospital, Duarte, CA, CCN 050146
  • Coastal Communities Hospital Hospital, Santa Ana, CA, CCN 050747

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
92.8 of 100Reported as group
Quality
78.51
Promoting interoperability
100
Improvement activities
40
Cost
70.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue22
Removal of nail tissue265
Removal or shaving of skin growth123
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3270CAMDFoot & Ankle Surgery Podiatrist
3270CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Foot Clinic Podiatry Group, Inc. Foot & Ankle Surgery CurrentSince Jul 25, 2001 Accepting new patients
City of Hope Medical Foundation CurrentSince Jul 21, 2024 Accepting new patients
Serve the People, Inc CurrentSince Nov 19, 2024 Accepting new patients
Euclid Foot Clinic Podiatry Group, Inc. Foot & Ankle Surgery CurrentSince Jul 25, 2001 Accepting new patients
Tri-City Hospital Past Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients

Locations

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

21500 Pioneer Blvd
Ste 107
Hawaiian Gdns, CA 90716
Phone (562) 402-5311

2621 S Bristol St
Ste 209
Santa Ana, CA 92704
Phone (714) 850-1300

1206 E 17th St
Ste 101
Santa Ana, CA 92701
Phone (714) 352-2911

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: direct@cityofhope.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1972506988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8877",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927288877",
            "telephone_number": "714-850-1300",
            "fax_number": "714-850-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST",
            "address_2": "STE 209",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045719",
            "telephone_number": "714-850-1300",
            "fax_number": "714-850-1301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Duarte Rd",
            "address_purpose": "LOCATION",
            "city": "Duarte",
            "state": "CA",
            "postal_code": "910103012",
            "country_code": "US",
            "telephone_number": "800-826-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "PAUL",
        "middle_name": "Y",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E32700",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000E32700",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@cityofhope.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 Duarte Rd",
            "city": "Duarte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910103012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.