Irene Shin

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

24407 Issued in CA

Practice address

21515 Hawthorne Blvd Ste G100
Torrance, CA 90503-6501

Phone

(424) 571-2618

Fax

(424) 571-2339

NPI assigned

Mar 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cortica Healthcare Inc

  • Health Service Clinic/Center
  • San Diego, CA
  • NPI 1801288535
  NPD (past)

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1013477223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 CORNERSTONE CT E STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213724",
            "telephone_number": "858-216-8837",
            "fax_number": "619-941-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21515 HAWTHORNE BLVD STE G100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036501",
            "telephone_number": "424-571-2618",
            "fax_number": "424-571-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "IRENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "24407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Mariko Shimizu
• Uta S. Shimizu, MD
• Naomi Shimozono, DPT
• Cara Shin, OTRL
• Hara Shin, L.AC
• Jinyoung Shin
• Peter B Shin, MD
• Sue Haesu Shin, SOCIAL WORKER
• Susan J Shin, O.D.
• Victoria Y Shin, MD

• Pediatric Occupational Therapist in Torrance, CA
• Providers in Torrance, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.