JOHN T SHEN MD, CORP (NPI# 1306991625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306991625 |
| Entity Type | Organization |
| Organization Name | JOHN T SHEN MD, CORP |
| Practice Address |
27403 Ynez Rd Suite 106 Temecula CA 92591-5603 |
| Practice Telephone | 9515262044 |
| Practice Fax Number | 9513329008 |
| Mailing Telephone | 9515262044 |
| Mailing Fax Number | 9513329008 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-03-25 |
| Authorized Official Name | MRS. KAREN NELSON SHEN (ADMINISTRATOR) |
| Authorized Official Telephone | 9513020959 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A86100 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE PTAN | P00399725 | 01 |
| CA | RAILROAD MEDICARE GROUP | DF8874 | 01 |
| CA | BLUESHIELD | 00A861000 | 01 |
| Street Address |
27403 YNEZ RD SUITE 106 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92591-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902812159 | John Tze-chiang Shen | Specialist | 27403 Ynez Rd, Suite 106, Temecula, CA 92591-5603 | 2006-07-31 |
| 1568916369 | Sharon Tucker | Counselor | 27403 Ynez Rd, Temecula, CA 92591-5603 | 2016-08-09 |
| 1790111441 | Meredith Leigh Spezia | Marriage & Family Therapist | 27403 Ynez Rd, Suite 202, Temecula, CA 92591-5603 | 2013-09-25 |
| 1225379100 | Veronica Cisneros | Marriage & Family Therapist | 27403 Ynez Rd, Suite 205, Temecula, CA 92591-5603 | 2013-03-02 |
| 1831460468 | Linda Rene Frazier | Counselor | 27403 Ynez Rd, Suite 202, Temecula, CA 92591-5603 | 2012-01-12 |
| 1942447768 | Richard Ruiz, M.d., Inc. | Specialist | 27403 Ynez Rd, Suite 107, Temecula, CA 92591-5603 | 2009-01-15 |
| 1336340710 | Richard Anthony Ruiz | Otolaryngology | 27403 Ynez Rd, Suite 107, Temecula, CA 92591-5603 | 2007-05-31 |
| 1326265083 | Dennis A Petersen D.o. Inc | General Practice | 27403 Ynez Rd, Suite 103, Temecula, CA 92591-5603 | 2007-04-20 |
| 1376687624 | Robert P Beck | Dentist | 27403 Ynez Rd, Suite 105, Temecula, CA 92591-5603 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978961 | Kendall Leeanne Mattix | Behavior Technician | 26720 Ynez Court, Temecula, CA 92591 | 2019-12-02 |
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1356830426 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 40780 Winchester Rd, Temecula, CA 92591 | 2018-05-04 |
| 1780196428 | Shirley K Wade | Case Manager/Care Coordinator | 40925 County Circle Drive, Temecula, CA 92591 | 2017-11-03 |
| 1639691405 | Angela Parry | Counselor | 29645 Rancho California Rd # 133c, Temecula, CA 92591 | 2017-07-12 |
| 1386166395 | Jonathan James Creech | Optometrist | 41257 Magarita Road, Suite B 103, Temecula, CA 92591 | 2017-07-11 |
| 1730600743 | Rachel Michele Brannigan | Specialist/Technologist | 39522 Seraphina Rd, Temecula, CA 92591 | 2017-06-29 |
| 1457890303 | Kala Chrisilis Earley | Specialist/Technologist | 29004 Bridgehampton Rd, Temecula, CA 92591 | 2017-02-13 |
| 1114464823 | Danielle Sasha Gonzalez | Counselor | 41002 County Circle Dr., Temecula, CA 92591 | 2017-01-20 |
| Find all providers in zip 92591 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588054431 | Kurlan Dermatology Medical Center, Inc | Dermatology | 31515 Rancho Pueblo Rd Ste 201, Temecula, CA 92592-4837 | 2015-01-30 |
| 1215451588 | Stacey Spehalski | Dermatology | 31720 Temecula Pkwy Ste 200, Temecula, CA 92592-5895 | 2017-07-28 |
| 1285671024 | Julia G Kurlan | Dermatology | 31515 Rancho Pueblo Rd, Ste 201, Temecula, CA 92592-4837 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1669081204 | Lucy Boyadzhian | Dermatology | 7472 Melrose Ave, Los Angeles, CA 90046-7524 | 2020-07-29 |
| 1033730981 | Adrianna Janell Browne, Md, Inc. | Dermatology | 8 Camino Encinas Ste 115, Orinda, CA 94563-3350 | 2020-05-01 |
| 1215564877 | Jasmine Khachatrian | Dermatology | 302 Sierra Woods Dr, Sierra Madre, CA 91024-1015 | 2020-03-24 |
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1245862101 | Yuval Bibi, A Professional Corporation | Dermatology | 7266 Franklin Ave Apt 321, Los Angeles, CA 90046-8324 | 2020-02-09 |
| 1457982001 | Modesty Joy Isaguirre | Dermatology | 140 S Grand Ave, Glendora, CA 91741-4259 | 2020-02-03 |
| 1790322063 | Mfc Dermatology | Dermatology | 3655 Lomita Blvd Ste 221, Torrance, CA 90505-1918 | 2019-12-05 |
| 1336784206 | Barbara Kinkle Pa Inc., A Physician Assistant Corporation | Dermatology | 24575 Hunt Ave, Corning, CA 96021-8607 | 2019-11-14 |
| 1497399141 | Dermatology Specialists Inc | Dermatology | 4765 Carmel Mountain Rd Ste 201, San Diego, CA 92130-6657 | 2019-11-05 |
| 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.