Individual provider Active NPI

Esther Jeehyun Won

  • Nurse Practitioner
  • Stanton, CA
National Provider Identifier
1982423224
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95032341 Issued in CA
Practice address
12362 Beach Blvd Ste 10
Stanton, CA 90680-3944
Phone
(714) 248-9500
NPI assigned
Oct 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95032341 CA Primary

Addresses

Primary practice location

12362 Beach Blvd Ste 10
Stanton, CA 90680-3944

Mailing address

12362 Beach Blvd Ste 10
Stanton, CA 90680-3944
Phone (714) 248-9500

Other practice location 1

15757 E Valley Blvd
City Of Industry, CA 91744-3900
Phone (626) 333-3801

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
I20250806004244 CA Practitioner - Nurse Practitioner 5193223485 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95032341CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Livingstone Community Development Corporation CurrentSince Aug 1, 2025 Accepting new patients
Livingstone Community Development Corporation CurrentSince Aug 1, 2025 Accepting new patients

Locations

12362 Beach Blvd
Ste 10
Stanton, CA 90680
Phone (714) 248-9500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1982423224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12362 BEACH BLVD STE 10",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906803944",
            "telephone_number": "714-248-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12362 BEACH BLVD STE 10",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906803944",
            "telephone_number": "714-248-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15757 E Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "City Of Industry",
            "state": "CA",
            "postal_code": "917443900",
            "country_code": "US",
            "telephone_number": "626-333-3801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WON",
        "first_name": "ESTHER",
        "middle_name": "JEEHYUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-04",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95032341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanton, CA

Sources for this page

Verify at the official NPI Registry.