Active NPI
Daniela Hijin Kim Shon, DNP
- Family Nurse Practitioner
- Carlsbad, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95015053
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 100
- Quality
- 75.08
- Improvement activities
- 40
- Cost
- 79.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Health Medical Group of California PC | Current | 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.
-
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
-
- Urgent Care Clinic/Center
- Pasadena, CA
- NPI 1255957205
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.