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SOPHIA JIYOON HAN MD
NPI 1114668811
Student in an Organized Health Care Education/Training Program in Santa Clara, CA

Active since April 05, 2022PECOS Enrolled
710 LAWRENCE EXPY, SANTA CLARA, CA 95051(408) 851-1000 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2023, Apr 5, 2022 (2 updates tracked since 2022).

About Sophia Jiyoon Han Md NPPES

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

SOPHIA JIYOON HAN MD (NPI 1114668811) is an individual student in an organized health care education/training program in Santa Clara, California and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114668811
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSOPHIA JIYOON HANCredential: MD
Location Address710 LAWRENCE EXPYSanta Clara, CA 95051-5173
Mailing Address710 Lawrence ExpySanta Clara, CA 95051-5173 · (408) 851-1000
Phone(408) 851-1000
Sole ProprietorNo
Enumeration DateApril 5, 2022
Last NPPES UpdateJune 6, 20232 updates tracked since enumeration
NPPES CertifiedJune 6, 2023
✔ NPI 1114668811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
710 LAWRENCE EXPY, Santa Clara, CA 95051
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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)

Sophia Jiyoon 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHARLENE JUNIO MADANES N.P.
Nurse Practitioner (Family)
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-3829
ELLEN CHINCHILLI MD
Student in an Organized Health Care Education/Training Program
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-3817
SWARNA L KONERU RD
Dietitian, Registered
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1000
MRS. BRIDGET M. BOUYSSOUNOUSE P.T.
Physical Therapist
710 LAWRENCE EXPY, DEPT. #174
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1466
FLAIR D. GOLDMAN DPM
Podiatrist
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 236-6400
MR. KRISNA P CHAI M.D.
Internal Medicine (Gastroenterology)
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1000
KARISSA TAAN MPT
Physical Therapist
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1492
ANDREA B. HUTCHINSON MD
Obstetrics & Gynecology
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sophia Han's NPI number?

The NPI number for Sophia Han is 1114668811. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Sophia Han located?

Sophia Han practices at 710 Lawrence Expy, Santa Clara, CA 95051. The listed phone number is (408) 851-1000.

What is Sophia Han's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sophia Han enrolled in Medicare?

Yes. Sophia Han is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sophia Han was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.