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AENA D HAN M.D.
NPI 1679612212
Pediatrics in San Bernardino, CA

Active since February 06, 2007PECOS Enrolled
1505 W 17TH ST STE 1, SAN BERNARDINO, CA 92411(909) 887-6494(909) 887-6043 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Aena D Han M.d. NPPES

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

AENA D HAN M.D. (NPI 1679612212) is an individual pediatrics provider in San Bernardino, California, licensed in Tennessee (52866) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679612212
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAENA D HANCredential: M.D.
Location Address1505 W 17TH ST STE 1San Bernardino, CA 92411-1202
Mailing Address1855 W Redlands Blvd Fl 2Redlands, CA 92373-3145 · (909) 890-0407 · Fax (909) 890-0575
Phone(909) 887-6494
Fax(909) 887-6043
Sole ProprietorNo
Enumeration DateFebruary 6, 2007
Last NPPES UpdateMarch 10, 2021
NPPES CertifiedMarch 10, 2021
✔ NPI 1679612212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in TN · 52866✔ Licensed in MS · 17791
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1505 W 17TH ST STE 1, San Bernardino, CA 92411
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Other Names 1

Former Name (1)Aena D Payne M.d.

Other Identifiers 1

Medicaid01972509MS

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aena D Han M.d. 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

3

Medicare enrollment records show Aena Han reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Medical Center, Inc.
40 mi
Community Health
12100 VALLEY BLVD STE 109A
El Monte, CA 91732
  • Reassigned Medicare billing, California enrollment
  • 49 clinicians in this Medicare group
NPI 1225357114 (626) 575-7500
Gracelight Community Health
49 mi
Federally Qualified Health Center (FQHC)
4816 E 3RD ST
Los Angeles, CA 90022
  • Reassigned Medicare billing, California enrollment
  • 75 clinicians in this Medicare group
NPI 1104075282 (323) 780-4510
Southern Monterey County Memorial Hospital
259 mi
Clinic/Center
400 CANAL ST, STE A
King City, CA 93930
  • Reassigned Medicare billing, California enrollment
  • 156 clinicians in this Medicare group
NPI 1821300427 (831) 385-1280

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 92411 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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 Aena Han's NPI number?

The NPI number for Aena Han is 1679612212. It was assigned to this individual provider in the NPPES registry on February 6, 2007. The provider is also known as Aena D Payne M.D..

Where is Aena Han located?

Aena Han practices at 1505 W 17th St Ste 1, San Bernardino, CA 92411. The listed phone number is (909) 887-6494.

What is Aena Han's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Aena Han enrolled in Medicare?

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

Which organizations bill Medicare for Aena Han's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aena Han reassigns Medicare benefits to 3 organizations: Southern California Medical Center, Inc. (El Monte, CA), Gracelight Community Health (Los Angeles, CA) and Southern Monterey County Memorial Hospital (King City, 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 Aena Han'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 Aena Han was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.