Tae Won, NURSE PRACTITIONER
NPI 1356035653 · Nurse Practitioner · Stanton, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tae Won, NURSE PRACTITIONER is a Nurse Practitioner provider in Stanton, CA (NPI 1356035653).
Provider details
- NPI number
- 1356035653
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Male
- Sole proprietor
- No
- License
- 95022157 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-06-08
- Last updated
- 2023-10-18
- Certified
- 2023-10-18
Frequently asked questions
- What is Tae Won's NPI number?
- Tae Won's National Provider Identifier (NPI) is 1356035653, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tae Won's specialty?
- Tae Won is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tae Won located?
- Tae Won's practice location on file with NPPES is 12362 Beach Blvd Ste 10, Stanton, CA 90680-3944.
- What is Tae Won's phone number?
- The practice phone number listed in the NPPES registry for Tae Won is (714) 248-9500.
- Does Tae Won accept Medicare?
- Tae Won is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tae Won's NPI active?
- Yes — Tae Won's NPI (1356035653) is active in the NPPES registry as of the last update on 2023-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.