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EUN HYEO HA
NPI 1215547484
Nurse Practitioner in Santa Monica, CA

Active since August 03, 2020PECOS Enrolled
1250 16TH ST, SANTA MONICA, CA 90404(310) 319-4000 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 2, 2024, Aug 20, 2021, Oct 15, 2020 and 3 more (6 updates tracked since 2020).

About Eun Hyeo Ha NPPES

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

EUN HYEO HA (NPI 1215547484) is an individual nurse practitioner in Santa Monica, California, licensed in California (NP95015146) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Long Beach.

NPPES Registry Identity

NPI1215547484
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameEUN HYEO HA
Location Address1250 16TH STSanta Monica, CA 90404-1249
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 319-4000
Sole ProprietorNo
Enumeration DateAugust 3, 2020
Last NPPES UpdateOctober 2, 20246 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
✔ NPI 1215547484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · NP95015146
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 95015146 (CA)
1250 16TH ST, Santa Monica, CA 90404
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Secondary Practice Location 1

Location 13747 Worsham Ave Ste 100Long Beach, CA 90808-1734 · Phone (562) 430-4513

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eun Hyeo Ha 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Eun Ha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Regents Of The University Of California
0.2 mi
Neurology
1801 WILSHIRE BLVD STE 100
Santa Monica, CA 90403
  • Reassigned Medicare billing, California enrollment
  • 137 clinicians in this Medicare group
NPI 1114557295 (310) 319-5098
Southland Neurologic Institute A Medical Corporation
24 mi
Neurology
3747 WORSHAM AVENUE, #100
Long Beach, CA 90808
  • Reassigned Medicare billing, California enrollment
  • 13 clinicians in this Medicare group
NPI 1528498409 (562) 430-4513

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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 20

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

ISABELLA JUSAY NP
Nurse Practitioner
1250 16TH ST
SANTA MONICA, CA 90404
Los Angeles County (424) 259-9450
CHRISTINE PHAM PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1250 16TH ST
SANTA MONICA, CA 90404
Los Angeles County (414) 259-8500
WILLIAM SHYY M.D.
Emergency Medicine
1250 16TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 794-7700
MAUREEN SALIGUMBA ACNP
Nurse Practitioner (Acute Care)
1250 16TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 319-4000
BREANNE CAROLYN GRAZER NP
Nurse Practitioner
1250 16TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 319-4000
KYLE TRAN
Pharmacist
1250 16TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 825-9111
ERMINA CAVCIC
Nurse Practitioner (Family)
1250 16TH ST
SANTA MONICA, CA 90404
Los Angeles County (424) 259-8262
RACHAEL BOLLINGER
Nurse Practitioner (Acute Care)
1250 16TH ST
SANTA MONICA, CA 90404
Los Angeles County (424) 259-9457

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 Eun Ha's NPI number?

The NPI number for Eun Ha is 1215547484. It was assigned to this individual provider in the NPPES registry on August 3, 2020.

Where is Eun Ha located?

Eun Ha practices at 1250 16th St, Santa Monica, CA 90404. The listed phone number is (310) 319-4000.

What is Eun Ha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Eun Ha enrolled in Medicare?

Yes. Eun Ha is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Eun Ha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eun Ha reassigns Medicare benefits to 2 organizations: The Regents Of The University Of California (Santa Monica, CA) and Southland Neurologic Institute A Medical Corporation (Long Beach, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eun Ha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Eun Ha was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.