JUNGOOK DEVIN SHIN (NPI# 1093152894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093152894 |
| Entity Type | Individual |
| Full Name | JUNGOOK DEVIN SHIN |
| Credential | M.D. |
| Practice Address |
8080 Parkway Dr La Mesa CA 91942-2104 |
| Practice Telephone | 8002905000 |
| Practice Fax Number | 8002905000 |
| Mailing Telephone | 8002905000 |
| Mailing Fax Number | 8002905000 |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2016-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A143622 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
8080 PARKWAY DR |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235101346 | Minal Damani Jackson | Dermatology | 8080 Parkway Dr, La Mesa Medical Offices, La Mesa, CA 91942-2104 | 2006-02-02 |
| 1063050482 | Joseph Kim | Pharmacist | 8080 Parkway Dr, La Mesa, CA 91942-2104 | 2019-12-16 |
| 1841757572 | Ronnie Hannosh | Pharmacist | 8080 Parkway Dr, La Mesa, CA 91942-2104 | 2019-02-28 |
| 1447737978 | Erika Mae M Reyes | Behavior Technician | 8080 Parkway Dr, La Mesa, CA 91942-2104 | 2018-07-26 |
| 1346786159 | Truc Nguyen | Pharmacist | 8080 Parkway Dr, La Mesa, CA 91942-2104 | 2017-01-17 |
| 1033596168 | Jonathan Brick | Family Medicine | 8080 Parkway Dr, La Mesa, CA 91942 | 2015-04-27 |
| 1689082794 | Rina Patel | Pharmacist | 8080 Parkway Dr, La Mesa, CA 91942-2104 | 2014-08-01 |
| 1992130470 | Austin Leialoha Howard | Internal Medicine | 8080 Parkway Dr, La Mesa, CA 91942-2104 | 2013-09-04 |
| 1992067508 | Jennifer Kim | Family Medicine | 8080 Parkway Dr, 2nd Fl, La Mesa, CA 91942-2104 | 2012-06-10 |
| 1306106208 | Joshua Ryan Smith | Family Medicine | 8080 Parkway Dr, La Mesa, CA 91942-2104 | 2012-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922169036 | Patricia K Deckert | Family Medicine | 8911 La Mesa Blvd Ste 101, La Mesa, CA 91942-9000 | 2006-12-12 |
| 1386737773 | Phillip Dickinson | Family Medicine | 8554 La Mesa Blvd, La Mesa, CA 91941 | 2006-09-30 |
| 1609988476 | Joanna D Nawroski-wozniak | Family Medicine | 7339 El Cajon Blvd Ste I, La Mesa, CA 91942-7435 | 2006-08-31 |
| 1013927425 | Flora Ishihara Danque | Family Medicine | 7918 El Cajon Blvd, Suite N322, La Mesa, CA 91942-6719 | 2006-08-08 |
| 1336168418 | Corinne Jean Ancona Young | Family Medicine | 8881 Fletcher Pkwy Ste 205, La Mesa, CA 91942-3187 | 2006-07-19 |
| 1104844380 | Joseph P Aiello | Family Medicine | 8875 La Mesa Blvd, La Mesa, CA 91942-5434 | 2006-07-17 |
| 1487672572 | George D Gibson | Family Medicine | 8875 La Mesa Blvd Ste C, La Mesa, CA 91941-5134 | 2006-07-17 |
| 1114944899 | Paula Leibham | Family Medicine | 5525 Grossmont Center Dr Ste 200, La Mesa, CA 91942-3009 | 2006-07-17 |
| 1568435923 | Christine Mae Nordling | Family Medicine | 8881 Fletcher Pkwy Ste 105, La Mesa, CA 91942-3132 | 2006-02-08 |
| 1588642847 | Joseph Aquilina | Family Medicine | 8851 Center Drive Suite 500, La Mesa, CA 91942 | 2006-01-06 |
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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.