Individual provider Active NPI

Jessica Shuen, M.D.

  • Emergency Medicine Physician
  • Hemet, CA
National Provider Identifier
1053766600
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A158830 Issued in CA
Practice address
890 W Stetson Ave Ste B
Hemet, CA 92543-7311
Phone
(951) 652-2811
NPI assigned
May 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A158830 CA Primary

Addresses

Primary practice location

890 W Stetson Ave Ste B
Hemet, CA 92543-7311

Mailing address

1708 S Tremont St
Oceanside, CA 92054-5309

Other practice location 1

30 Prospect Ave
3rd floor, Main Building, Rm 3672
Hackensack, NJ 07601-1915
Phone (551) 996-2331

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190607001062 CA Practitioner - Emergency Medicine 2668705534 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2601 E Chapman Ave
Orange, CA 92869-3206
Phone (714) 633-0011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A158830CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Star Hospital Associates Inc. Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Apex Emergency Medical Group, Inc. Emergency Medicine CurrentSince May 13, 2019 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Apr 1, 2021 Accepting new patients

Locations

890 W Stetson Ave
Ste B
Hemet, CA 92543
Phone (951) 652-2811

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1053766600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 S TREMONT ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920545309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 W STETSON AVE STE B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925437311",
            "telephone_number": "951-652-2811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Prospect Ave",
            "address_2": "3rd floor, Main Building, Rm 3672",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011915",
            "country_code": "US",
            "telephone_number": "551-996-2331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUEN",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A158830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.