JOHN C SHIN


Address: 901 E St, Ste 285, San Rafael, CA 94901-2850
Phone: 4154545565

JOHN C SHIN (NPI# 1114920477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114920477
Entity Type Individual
Full Name JOHN C SHIN
Credential M.D.
Practice Address 901 E St
Ste 285
San Rafael
CA 94901-2850
Practice Telephone 4154545565
Practice Fax Number 4154542957
Mailing Telephone 4154545565
Mailing Fax Number 4154542957
Enumeration Date 2005-05-31
Last Update Date 2007-07-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist G77943 CA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA GR0015750 05

Other Providers JOHN SHIN

NPI Name Taxonomy Address Enumeration
1326281619 John Shin Anesthesiology Ucla Dept of Anesthesiology, 757 Westwood Plaza Suite 3304, Los Angeles, CA 90095-0001 2009-04-15
1255866406 John Shin Student in an Organized Health Care Education/Training Program 90 Bergen St, Suite 7300, Newark, NJ 07103-2425 2017-04-25
1992111520 John Shin Internal Medicine 200 1st St Sw, Rochester, MN 55905-0001 2014-07-02
1124279443 John Hong Shin Neurological Surgery 15 Parkman St, Wac 745, Boston, MA 02114-3117 2008-10-06
1962672444 John Sanghyun Shin Hearing Instrument Specialist 12902 Brookhurst St, Ste D, Garden Grove, CA 92840-4881 2008-03-11
1295911493 John Hyoungsub Shin Internal Medicine 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 2008-01-17
1396950309 John Shangkyun Shin Psychiatry & Neurology 138 S Steele St, Suite P, Sanford, NC 27330-4201 2007-05-12
1477577682 John Junghoon Shin Internal Medicine 385 Tremont Ave, Veterans Affairs Medical Center, Medical (111), East Orange, NJ 07018-1023 2006-07-27

Office Location

Street Address 901 E ST
STE 285
City SAN RAFAEL
State CA
Zip Code 94901-2850

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447253919 Marin Ophthalmic Consultants, A Medical Corporation Specialist 901 E St, Ste 285, San Rafael, CA 94901-2850 2005-05-27
1861917841 Deloge Anesthesia Services Inc A Professional Nursing Corporation Nurse Anesthetist, Certified Registered 901 E St, San Rafael, CA 94901-2850 2017-08-10
1053530964 Margaret Harrington Anesthesiology 901 E St, 270, San Rafael, CA 94901-2850 2007-04-25
1356494892 Tanaz Mohammadi Optometrist 901 E St, Suite 285, San Rafael, CA 94901-2850 2007-01-19
1336130525 Christian K Kim Ophthalmology 901 E St, Suite 285, San Rafael, CA 94901-2850 2005-11-04
1912996711 Susan Jean Cunningham Optometrist 901 E St, Ste 285, San Rafael, CA 94901-2850 2005-10-14
1689679961 Nat Jay Finkel Optometrist 901 E St, Ste 285, San Rafael, CA 94901-2850 2005-06-14
1750384061 Dianne Lee Wong Optometrist 901 E St, Ste 285, San Rafael, CA 94901-2850 2005-05-31
1619970928 John R Campbell Specialist 901 E St, Ste 285, San Rafael, CA 94901-2850 2005-05-31
1053314351 Steven Vermillion Specialist 901 E St, Ste 285, San Rafael, CA 94901-2850 2005-05-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780207134 Marianne Haissman Stefancic Marriage & Family Therapist 409 Forbes Ave., San Rafael, CA 94901 2020-05-20
1093292765 Marin Community Clinic Clinic/Center 411 4th Strteet, Suite A, San Rafael, CA 94901 2018-07-25
1275052516 Laura Ellen Silverstein Marriage & Family Therapist 600 Fifth Avenue, San Rafael, CA 94901 2017-09-19
1689101107 Marin Family Recovery Clinic/Center 1209 Third St. Ste 4, San Rafael, CA 94901 2017-05-15
1376070011 Tencia Beavers-sanchez Counselor 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 2017-05-12
1326584905 Jamie Waterman Emergency Medical Technician, Basic 675 Sir Francis Drake Blvd, Kentfield, CA 94901 2017-01-06
1295270676 Stephen Marks Counselor 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 2016-12-21
1497299812 Vesna Sturman Psychologist 712 D St Ste L, San Rafael, CA 94901 2016-12-05
1063955771 Carol Dutton Hollenberg Behavior Technician 503 D St., San Rafael, CA 94901 2016-11-29
1083069447 Bay Area Community Resources Community/Behavioral Health 103 Shoreline Parkway, San Rafael, CA 94901 2016-05-04
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881006179 Tara Ann Hodge Specialist 1475 Grand Ave., San Rafael, CA 94901 2014-05-21
1063654358 Marjorie Wise King Specialist 33 Dunfries Ter, San Rafael, CA 94901-2415 2009-04-01
1689890345 Jaquelin N Pearson Specialist 13 Oakcrest Dr, San Rafael, CA 94903-2842 2007-04-18
1104971928 Jerome Phillip Mednick Specialist 7 Locksly Ln, San Rafael, CA 94901-2426 2007-01-24
1700962685 Michael S Taekman Specialist 15 Oakmont Ct, San Rafael, CA 94901-1235 2006-10-31
1023116290 Leslie Dawn Scott Specialist 161 Mitchell Blvd Ste 101, San Rafael, CA 94903-2068 2006-09-20
1477566099 Caroline Bourcier Specialist 9 La Loma Ct, San Rafael, CA 94901-5147 2006-08-14
1417921339 Jesse J Mazza Specialist 50 Acacia Ave, San Rafael, CA 94901-2230 2006-02-15
1447253919 Marin Ophthalmic Consultants, A Medical Corporation Specialist 901 E St, Ste 285, San Rafael, CA 94901-2850 2005-05-27
1992208136 Yelena Pomazan Specialist 1 Saint Vincents Dr, San Rafael, CA 94903-1504 2018-03-14
Find all providers in SAN RAFAEL

Competitor

Search similar providers

City SAN RAFAEL
Zip Code 94901

Improve Information

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Dataset Information

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.

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