Youngkyu Peter Sheen, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A37644 Issued in CA

Practice address

5138 Sea Mist Court
San Diego, CA 92121-4227

Phone

(858) 642-0536

Fax

(858) 642-0536

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Y Peter Sheen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023130630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5138 SEA MIST COURT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214227",
            "telephone_number": "858-642-0536",
            "fax_number": "858-642-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5138 SEA MIST COURT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214227",
            "telephone_number": "858-642-0536",
            "fax_number": "858-642-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEN",
        "first_name": "YOUNGKYU",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A37644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0186589",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "Y",
            "last_name": "SHEEN",
            "middle_name": "PETER",
            "prefix": "MR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kerry Lyn Sheehan, PHARM.D.
• Tammy Sheehan
• Kelly A Sheehi, RN
• Alissa Marie Keeling Sheehy, RD
• Christiana Sheehy, PT, DPT
• Sheena Howell DMD, Inc
• Kyra Nicole Sheeper
• Mary Harb Sheets, PH.D.
• Robert Miller Sheets, M.D.
• Tyler James Sheetz, MD

• Urology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.