Individual provider Active NPI

Daniela Hijin Kim Shon, DNP

  • Family Nurse Practitioner
  • Carlsbad, CA
National Provider Identifier
1013688738
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95015053 Issued in CA
Practice address
2510 El Camino Real
Carlsbad, CA 92008-1273
Phone
(760) 729-8941
NPI assigned
Sep 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95015053 CA Primary

Addresses

Primary practice location

2510 El Camino Real
Carlsbad, CA 92008-1273

Mailing address

2510 El Camino Real
Carlsbad, CA 92008-1273
Phone (760) 729-8941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211228000657 CA Practitioner - Nurse Practitioner 5890186969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

109 S Las Posas Rd
Suite 101
San Marcos, CA 92078-2419
Phone (760) 258-4826

1855 S Centre City Pkwy
Suite 1885B
Escondido, CA 92025-6525
Phone (442) 203-4936

2484 Vista Way
2484A
Oceanside, CA 92054-6199
Phone (760) 421-5577

6971 El Camino Real
Suite 101
Carlsbad, CA 92009-4114
Phone (760) 258-4971

Merit-based Incentive Payment System (MIPS)

Final score
80.12 of 100Reported as group
Quality
75.08
Improvement activities
40
Cost
79.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of California PC CurrentSince Aug 16, 2024 Accepting new patients

Locations

6971 El Camino Real
Ste 101
Carlsbad, CA 92009
Phone (760) 258-4971

3955 Bedford Canyon Rd
Unit 103
Corona, CA 92883
Phone (951) 293-4722

2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1013688738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 EL CAMINO REAL",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081273",
            "telephone_number": "760-729-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 EL CAMINO REAL",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081273",
            "telephone_number": "760-729-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHON",
        "first_name": "DANIELA",
        "middle_name": "HIJIN KIM",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.