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Active NPI 1356035653 Individual Practitioner Male Practitioner

Tae Yoon Won , NURSE PRACTITIONER

Nurse Practitioner • Stanton, CA

Professional Overview & Biography Verified Profile Summary

Tae Won, NURSE PRACTITIONER is a registered healthcare professional specializing in Nurse Practitioner in Stanton, CA. Practice services are available at 12362 BEACH BLVD STE 10 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12362 Beach Blvd Ste 10

Stanton, CA 906803944

Telephone 7142489500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Stanton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Stanton, CA (8378 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-18
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 95022157

(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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
NPI 1093905481

Doctor of Dental Surgery

Heejin Kim , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1184242976

NURSEPRACTITIONER

Anna Jang , FNP

Nurse Practitioner - Family

NPI 1184340333

Family Nurse Practitioner

NPI 1356821060

Doctor of Philosophy (Ph.D.)

NPI 1427432756

Doctor of Dental Surgery

Collin Yamaka , FNP-C

Nurse Practitioner - Family

NPI 1508517517

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 18, 2023

Registered at 12362 BEACH BLVD STE 10, STANTON, CA 906803944 (Tel: 7142489500)

📍
Updated Business Mailing Address October 18, 2023

Registered at 12362 BEACH BLVD STE 10, STANTON, CA 906803944 (Tel: 7142489500)

NPI Profile Active June 08, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 08, 2023

Registered at 393 S SALAMANCA CT, LA HABRA, CA 906319294 (Tel: 7149042766)

📍
Updated Business Mailing Address June 08, 2023

Registered at 393 S SALAMANCA CT, LA HABRA, CA 906319294 (Tel: 7149042766)

👤
Provider Name / Credentials Updated June 08, 2023

Recorded as TAE WON, NURSE PRACTITIONER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2023

Nurse Practitioner (License #95022157 in CA)

🟢
Initial NPI Registration & Enumeration June 08, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356035653
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2023
Last Update: October 18, 2023
Sole Proprietor: No

Mailing Address

12362 Beach Blvd Ste 10

Stanton, CA 906803944

Phone: 7142489500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.