STEPHANIE SHIN (NPI# 1023317286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023317286 |
| Entity Type | Individual |
| Full Name | STEPHANIE SHIN |
| Credential | MD |
| Practice Address |
320 Santa Fe Dr Ste 107-c Encinitas CA 92024-5138 |
| Mailing Address |
5965 Village Way Suite E105, Unit 244 San Diego CA 92130 |
| Practice Telephone | 7602308994 |
| Mailing Telephone | 6197864128 |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2020-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
130231 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
130231 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7901 Frost St, San Diego, CA 921232701 | 8589393400 | |
| 9300 Campus Point Drive, Mail Code # 7381, Ucsd Department of Medicine (pulmonary Critical Care), La Jolla, CA 920377381 | 8586577118 | 8586577107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649646084 | Stephanie Suhyoung Shin | Dentist | 1303 Packard St Ste 301, Ann Arbor, MI 48104-3874 | 2015-08-20 |
| 1174090088 | Stephanie Shin | Behavior Technician | 17911 Sky Park Cir Ste E, Irvine, CA 92614-4303 | 2018-10-29 |
| 1992159792 | Stephanie Shin | Student in an Organized Health Care Education/Training Program | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2016-04-18 |
| Street Address |
320 SANTA FE DR STE 107-C |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-5138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790769131 | Andrew Y Hsing | Internal Medicine | 320 Santa Fe Dr Ste 107-c, Encinitas, CA 92024-5138 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407043847 | William J Ackerman Md Apc | Internal Medicine | 320 Santa Fe Dr, Ste 308, Encinitas, CA 92024-5138 | 2007-10-01 |
| 1821188384 | William Wayne Hooper, M.d., Inc. | Internal Medicine | 320 Santa Fe Dr, Suite 101, Encinitas, CA 92024-5138 | 2006-10-13 |
| 1902908437 | William Joseph Ackerman | Internal Medicine | 320 Santa Fe Dr, 308, Encinitas, CA 92024-5138 | 2006-09-04 |
| 1720052988 | William Wayne Hooper | Internal Medicine | 320 Santa Fe Dr, Suite 101, Encinitas, CA 92024-5138 | 2006-02-15 |
| 1477524403 | Dennis Eugene Amundson | Internal Medicine | 320 Santa Fe Dr, Suite 308, Encinitas, CA 92024-5138 | 2006-01-28 |
| 1275511420 | Scott Alan Eisman | Internal Medicine | 354 Santa Fe Dr, Encinitas, CA 92024-5142 | 2006-01-06 |
| 1881694891 | Robert T Savage | Internal Medicine | 320 Santa Fe Dr, Suite 308, Encinitas, CA 92024-5138 | 2005-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221137 | Newport Superior Medical & Infusion Inc | Internal Medicine | 1501 Superior Ave Ste 111, Newport Beach, CA 92663-3661 | 2020-10-02 |
| 1205472339 | Christian Gronbeck IIi | Internal Medicine | 37 E Mission Ave, San Rafael, CA 94901-4208 | 2019-11-25 |
| 1497304497 | Ralph Zitnik | Internal Medicine | 606 E Valerio St, Santa Barbara, CA 93103-1954 | 2019-09-11 |
| 1578118295 | Adventist Health Physicians Network | Internal Medicine | 1231 W Vine St Ste 19, Lodi, CA 95240-5109 | 2019-08-08 |
| 1063079176 | Kasra Sedarati M.d. Inc. | Internal Medicine | 325 N Maple Dr Unit 1863, Beverly Hills, CA 90213-4754 | 2019-05-23 |
| 1124586367 | Coast Concierge Medicine Inc | Internal Medicine | 31852 Coast Hwy Ste 201, Laguna Beach, CA 92651-6765 | 2019-03-06 |
| 1801373352 | Antelope Valley Lung & Sleep Institute, Inc | Internal Medicine | 1331 W Avenue J Ste 101, Lancaster, CA 93534-2942 | 2018-07-26 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1841780301 | San Joaquin Critical Care Medical Group, Inc. | Internal Medicine | 1801 E March Ln Ste C300, Stockton, CA 95210-6657 | 2018-05-10 |
| 1912408691 | Northern California Medical Assoc | Internal Medicine | 2315 Dean St, Eureka, CA 95501-3208 | 2018-02-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.