Frank D. Shin, MD, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

G80006 Issued in CA

Legal business name

FRANK D. SHIN, MD, INC

Practice address

1440 S de Anza Blvd
Suite a
San Jose, CA 95129-4666

Phone

(408) 366-0405

NPI assigned

Oct 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Frank Da Shin, MDNPI 1003992264

Title

Ceo

Phone

(408) 366-0405

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank Da Shin, M.D.

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1003992264
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1013104488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 S DEANZA BLVD",
            "address_2": "SUITE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95129",
            "telephone_number": "408-366-0405",
            "fax_number": "408-366-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 S DE ANZA BLVD",
            "address_2": "SUITE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951294666",
            "telephone_number": "408-366-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK D. SHIN, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "DA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-366-0405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G80006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Franco
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• Ashlynn Michelle Frandsen
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• Frank Dan Tran Dental Corporation
• Frank Fook Y. Wong, MD, Inc.
• Carmen J. Frank, LMFT
• Emanuel Frank, M.D.
• Kristen Frank, MFT

• Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.