Shin Pin Ho, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A32362 Issued in CA

Practice address

27141 Hidaway Ave
Ste 106
Canyon Country, CA 91351-4135

Phone

(661) 252-8469

Fax

(661) 252-6506

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1033223045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE",
            "address_2": "STE 106",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913514135",
            "telephone_number": "661-252-8469",
            "fax_number": "661-252-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE",
            "address_2": "STE 106",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913514135",
            "telephone_number": "661-252-8469",
            "fax_number": "661-252-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "SHIN",
        "middle_name": "PIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A32362",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A32362",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A323620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Adiel Herrera
• Delphine D Hicks
• Patanadej Dustin Higaravathn, DDS
• Hirano Kanuga Dental Group
• Hirdev Inc.
• Tina Trinh Ho
• Suren Hovhannisyan
• Jin A Hur, D.O.
• Adriana Hurtado, DDS
• I. Shahinyan D.D.S, Incorporated

• Family Medicine Physician in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.