MOONJOO HAN MD
NPI 1043503675
Pediatrics - Pediatric Critical Care Medicine in Sacramento, CA

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.

Active since May 16, 2011PECOS Enrolled

2516 STOCKTON BLVD, SACRAMENTO, CA 95817(973) 634-1023 Get Directions Write a Review

NPPES record last updated: October 12, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Moonjoo Han Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOONJOO HAN MD (NPI 1043503675) is an individual pediatric critical care medicine provider in Sacramento, California, licensed in California (156570) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043503675

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameMOONJOO HANCredential: MD

Location Address2516 STOCKTON BLVDSacramento, CA 95817-2208

Mailing Address2516 Stockton BlvdSacramento, CA 95817-2208 · (215) 634-1023

Phone(973) 634-1023

Sole ProprietorNo

Enumeration DateMay 16, 2011

Last NPPES UpdateOctober 12, 2018

✔ NPI 1043503675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in CA · 156570

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License MT199395 (PA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT199395 (PA)

2516 STOCKTON BLVD, Sacramento, CA 95817

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moonjoo Han Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.