SELINA HAN
NPI 1114763554
Family Medicine - Adult Medicine in Covina, CA

Active since July 05, 2024PECOS Enrolled
250 W BADILLO ST, COVINA, CA 91723(626) 967-6225(626) 331-7925 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 1, 2025, Jul 5, 2024 (2 updates tracked since 2024).

About Selina Han NPPES

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

SELINA HAN (NPI 1114763554) is an individual adult medicine provider in Covina, California, licensed in California (65032) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pomona.

NPPES Registry Identity

NPI1114763554
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameSELINA HAN
Location Address250 W BADILLO STCovina, CA 91723-1906
Mailing Address250 W Badillo StCovina, CA 91723-1906 · (626) 967-6225 · Fax (626) 331-7925
Fax(626) 331-7925
Sole ProprietorNo
Enumeration DateJuly 5, 2024
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
NPI 1114763554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License Licensed in CA · 65032
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedPhysician AssistantTaxonomy 363A00000X
250 W BADILLO ST, Covina, CA 91723

Secondary Practice Location 1

Location 1309 E 2nd StPomona, CA 91766-1854 · Phone (909) 623-6116

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Selina Han 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91723 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Family Medicine
250 W BADILLO ST
COVINA, CA 91723
Family Medicine
250 W BADILLO ST
COVINA, CA 91723
Family Medicine
250 W BADILLO ST
COVINA, CA 91723

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 Selina Han's NPI number?

The NPI number for Selina Han is 1114763554. It was assigned to this individual provider in the NPPES registry on July 5, 2024.

Where is Selina Han located?

Selina Han practices at 250 W Badillo St, Covina, CA 91723. The listed phone number is (626) 967-6225.

What is Selina Han's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Selina Han enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Selina Han was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.