KRYSTAL SHIN (NPI# 1427536754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427536754 |
| Entity Type | Individual |
| Full Name | KRYSTAL SHIN |
| Credential | PA-C |
| Practice Address |
2100 Webster St Ste 305 San Francisco CA 94115-2376 |
| Mailing Address |
1000 3rd St # 511 San Francisco CA 94158-2113 |
| Practice Telephone | 4152021540 |
| Mailing Telephone | 8086407654 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 55666 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2100 WEBSTER ST STE 305 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94115-2376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593274 | Francene G Colvin | Psychologist | 1939 Divisadero, Suite 1, San Francisco, CA 94115 | 2020-06-19 |
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1881243822 | Clara Kwun | Social Worker | 1610 Scott St., San Francisco, CA 94115 | 2019-09-11 |
| 1467005207 | Tamara Aline Hostetler | Marriage & Family Therapist | 2859 Sacramento St., San Francisco, CA 94115 | 2019-07-22 |
| 1962054999 | Wendy Lynne Stern | Psychologist | 2104 Bush St., San Francisco, CA 94115 | 2019-07-10 |
| 1184188476 | Katherine Marie Carroll | Specialist/Technologist | 1731 B Buchanan Street, San Francisco, CA 94115 | 2019-01-30 |
| 1710467410 | Joanna Katherine Hendrick | Marriage & Family Therapist | 1201 Fillmore Street, San Francisco, CA 94115 | 2018-08-21 |
| 1063998771 | Leonard Cheung | Counselor | Youth Services Bureau of San Francisco, 1426 Fillmore Street Suite 216, San Francisco, CA 94115 | 2018-07-16 |
| 1942709563 | Jobelle Cunanan | Behavior Technician | 1871 Turk St, San Francisco, CA 94115 | 2018-02-09 |
| 1083128235 | Dr. Jenny Mann, Nd | Clinic/Center | 2300 Sutter St Ste 301, San Francisco, CA 94115 | 2017-11-27 |
| Find all providers in zip 94115 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1427672559 | Grace Ellen Banks | Physician Assistant | 1199 Bush St Ste 620, San Francisco, CA 94109-5977 | 2020-06-04 |
| 1386270403 | Marcella Santos | Physician Assistant | 67 Skyview Way, San Francisco, CA 94131-1248 | 2020-03-20 |
| 1942846050 | Amy Kim | Physician Assistant | 450 Sutter St Rm 1404, San Francisco, CA 94108-4003 | 2019-11-24 |
| 1831731041 | Erica Keller | Physician Assistant | 1998 Market Street, Within Carbon Health, San Francisco, CA 94102 | 2019-10-09 |
| 1841844040 | Isheen Dizon Dantes Herrera | Physician Assistant | 2238 Geary Blvd Fl 2se, San Francisco, CA 94115-3416 | 2019-07-26 |
| 1396306148 | Jillian Kelter | Physician Assistant | 956 Sacramento St, San Francisco, CA 94108-2054 | 2019-06-24 |
| 1689134801 | Nicola Jane Shea | Physician Assistant | 1500 Owens St Fl 2, San Francisco, CA 94158-2338 | 2019-03-22 |
| 1548720816 | Kyle Patrick Johnson | Physician Assistant | 2955 Clay St Apt 1, San Francisco, CA 94115-1766 | 2019-03-22 |
| 1043728884 | Julie Huynh | Physician Assistant | 3838 California St Rm 316, San Francisco, CA 94118-1505 | 2018-01-15 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94115 |
Please comment or provide details below to improve the information on KRYSTAL SHIN.
| 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.