DR. JAESU HAN (NPI# 1104802149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104802149 |
| Entity Type | Individual |
| Full Name | DR. JAESU HAN |
| Credential | MD |
| Practice Address |
2230 Stockton Blvd Sacramento CA 95817-1419 |
| Practice Telephone | 9167342972 |
| Mailing Telephone | 9167342972 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2011-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A066813 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A066813 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A668130 | 05 |
| Street Address |
2230 STOCKTON BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-1419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164415238 | Regents of The University of Ca | Psychiatry & Neurology | 2230 Stockton Blvd, Sacramento, CA 95817-1419 | 2005-08-24 |
| 1750982328 | Carolina Valdovinos Ramirez | Case Manager/Care Coordinator | 2230 Stockton Blvd, Sacramento, CA 95817-1353 | 2020-11-02 |
| 1154929578 | Christopher Hakusui | Case Manager/Care Coordinator | 2230 Stockton Blvd, Sacramento, CA 95817-1353 | 2020-10-16 |
| 1538776901 | Alejandra Espino | Case Manager/Care Coordinator | 2230 Stockton Blvd, Sacramento, CA 95817-1353 | 2020-09-29 |
| 1124646195 | Praveena Kaur Singh | Case Manager/Care Coordinator | 2230 Stockton Blvd, Sacramento, CA 95817-1353 | 2020-07-07 |
| 1457977811 | Chastity Easley Bosley | Student in an Organized Health Care Education/Training Program | 2230 Stockton Blvd, Sacramento, CA 95817-1353 | 2020-06-22 |
| 1043862493 | Anne Cathryn Wilson | Student in an Organized Health Care Education/Training Program | 2230 Stockton Blvd, Sacramento, CA 95817-1353 | 2019-07-15 |
| 1518528546 | Sarah Medina-aguirre | Case Manager/Care Coordinator | 2230 Stockton Blvd, Sacramento, CA 95817-1353 | 2019-06-20 |
| 1972169522 | Viviana Elizabeth Padilla | Case Manager/Care Coordinator | 2230 Stockton Blvd, Sacramento, CA 95817-1353 | 2019-05-18 |
| 1023571643 | Hillary Maslin Paulsen | Student in an Organized Health Care Education/Training Program | 2230 Stockton Blvd, Sacramento, CA 95817-1353 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023638327 | Fast Medical Care LLC | Family Medicine | 342 Main Ave, Sacramento, CA 95838-2063 | 2020-04-16 |
| 1386275246 | Zsm Medical Services Inc | Family Medicine | 8 Cain Ct, Sacramento, CA 95834-1067 | 2020-01-30 |
| 1083265565 | Rajwinder Kaur | Family Medicine | 11 Poinsettia Ct, Sacramento, CA 95838-2282 | 2019-09-25 |
| 1629630314 | Archway Health Care Services Inc | Family Medicine | 8950 Cal Center Dr Ste 112, Sacramento, CA 95826-3236 | 2019-07-02 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1487186334 | Emilie Dempsey | Family Medicine | 2801 27th St, Sacramento, CA 95818-3221 | 2017-03-30 |
| 1396198958 | River City Medical Group Inc | Family Medicine | 7311 Greenhaven Dr, Suite 145, Sacramento, CA 95831-3572 | 2016-07-19 |
| 1215382197 | Manpreet Kaur Gill | Family Medicine | 3308 El Camino Ave # 300-434, Sacramento, CA 95821-6327 | 2016-04-28 |
| 1457764235 | Sharndeep Kaur Bains | Family Medicine | 10470 Old Placerville Road, Ste 100, Sacramento, CA 95827-2539 | 2014-06-09 |
| 1346650306 | Queena Dai | Family Medicine | 1201 Alhambra Blvd Ste 230, Sacramento, CA 95816-5241 | 2014-04-30 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
Please comment or provide details below to improve the information on DR. JAESU HAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.