NAOMI HAN PA
NPI 1407505530
Physician Assistant - Surgical in Brentwood, CA

Active since March 23, 2022PECOS EnrolledAccepts Medicare Assignment
1200 CENTRAL BLVD STE D, BRENTWOOD, CA 94513(925) 308-9510 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 28, 2025, Feb 13, 2025 (2 updates tracked since 2025).

About Naomi Han Pa NPPES

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

NAOMI HAN PA (NPI 1407505530) is an individual surgical provider in Brentwood, California and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407505530
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameNAOMI HANCredential: PA
Location Address1200 CENTRAL BLVD STE DBrentwood, CA 94513-2227
Mailing Address2011 Manchester RdSan Leandro, CA 94578-1435 · (510) 929-7172
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 23, 2022
Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
NPI 1407505530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
1200 CENTRAL BLVD STE D, Brentwood, CA 94513

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Naomi Han Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406346063
PECOS Enrollment IDI20251103003931
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

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

Nurse Practitioner (Family)
1200 CENTRAL BLVD STE D
BRENTWOOD, CA 94513

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 Naomi Han's NPI number?

The NPI number for Naomi Han is 1407505530. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Naomi Han located?

Naomi Han practices at 1200 Central Blvd Ste D, Brentwood, CA 94513. The listed phone number is (925) 308-9510.

What is Naomi Han's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Naomi Han enrolled in Medicare?

Yes. Naomi Han is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Naomi Han was last updated on October 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.