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EUGENE HAN D.O.
NPI 1912364506
Student in an Organized Health Care Education/Training Program in Fontana, CA

Active since January 27, 2016PECOS EnrolledAccepts Medicare Assignment
9961 SIERRA AVE, FONTANA, CA 92335(909) 427-2608(909) 427-5312 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 29, 2021, Apr 1, 2016, Jan 27, 2016 (3 updates tracked since 2016).

About Eugene Han D.o. NPPES

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

EUGENE HAN D.O. (NPI 1912364506) is an individual student in an organized health care education/training program in Fontana, California and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1912364506
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEUGENE HANCredential: D.O.
Location Address9961 SIERRA AVEFontana, CA 92335-6720
Mailing Address17234 Valley Blvd.Fontana, CA 92335 · (909) 427-2608 · Fax (909) 427-5312
Phone(909) 427-2608
Fax(909) 427-5312
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 27, 2016
Last NPPES UpdateNovember 29, 20213 updates tracked since enumeration
NPPES CertifiedNovember 29, 2021
✔ NPI 1912364506 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.
9961 SIERRA AVE, Fontana, CA 92335
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eugene Han D.o. 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 ID547508202
PECOS Enrollment IDI20190205002945
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 Reassignment

Medicare enrollment records show Eugene Han reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
Same address
Health Maintenance Organization
9961 SIERRA AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1952333460 (California)
  • 5,228 clinicians in this Medicare group
NPI 1689606196 (909) 427-3910

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
36 services15 patients

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.

SHEILA ANN VANALLEN PT
Physical Therapist
9961 SIERRA AVE, BUILDING 3A
FONTANA, CA 92335
San Bernardino County (909) 427-7727
MR. JAMES DAVID KILLEEN III M.D.
Pediatrics
9961 SIERRA AVE, KAISER PERMANENTE FONTANA - PEDIATRICS
FONTANA, CA 92335
San Bernardino County (909) 427-6960
MR. DHIRESH N PATEL RPH
Pharmacist
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 302-8018
JOSHUA MO MD
Pathology (Dermatopathology)
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-5000
MS. STELLA MARIS CARLOS R.D.
Dietitian, Registered
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 472-7185
KADETTE KELLY CRNA
Nurse Anesthetist, Certified Registered
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-3910
YAEL STEINFELD NP
Nurse Practitioner
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-3910
SCOTT SWARTZ NP
Nurse Practitioner
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-3910

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 Eugene Han's NPI number?

The NPI number for Eugene Han is 1912364506. It was assigned to this individual provider in the NPPES registry on January 27, 2016.

Where is Eugene Han located?

Eugene Han practices at 9961 Sierra Ave, Fontana, CA 92335. The listed phone number is (909) 427-2608.

What is Eugene 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 Eugene Han enrolled in Medicare?

Yes. Eugene 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.

Which organization bills Medicare for Eugene Han's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eugene Han reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, CA). The 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 Eugene 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 Eugene Han was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.