Victoria Belle Yea Ri Shin, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A16924 Issued in CA

Practice address

26520 Cactus Ave
Moreno Valley, CA 92555-3927

Phone

(405) 863-4846

NPI assigned

Feb 19, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

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

Specialty

Family Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Regents of the University of CaliforniaGroup PAC ID 1355248584, 1,426 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vshin934281@direct.uclahealth.org
• Direct secure messaging: vshin462798@hisp.ehr.sutterhealth.org

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.

• The Regents of the University of California

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1235107566

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Regents of the University of California

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1891110888

  Single Specialty

  Medicare reassignment NPD
• Regents University of California

  • Family Medicine Physician
  • Santa Monica, CA
  • NPI 1710287297

  Single Specialty

  Medicare reassignment NPD
• J M Geiss DO Apc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1063825289

  Single Specialty

  NPD
• Regents of the University of California

  • Durable Medical Equipment & Medical Supplies
  • Woodland Hills, CA
  • NPI 1083063127
  NPD
• Regents University of California

  • Multi-Specialty Clinic/Center
  • Santa Monica, CA
  • NPI 1316725963
  NPD
• The Regents of the University of California

  • Ambulatory Surgical Clinic/Center
  • Valencia, CA
  • NPI 1689200305
  NPD
• UCLA Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1043427248

  Family Medicine

  NPD (past)

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

• Regents Univ of Calif Los Angeles

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1902803315
  Care Compare affiliation

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1063837631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 MISSION INN AVE APT 235",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074233",
            "telephone_number": "405-863-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26520 CACTUS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553927",
            "telephone_number": "405-863-4846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6344 Topanga Canyon Blvd Ste 2040",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913672362",
            "country_code": "US",
            "telephone_number": "818-610-0292",
            "fax_number": "818-610-0293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2424 Wilshire Blvd",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904035806",
            "country_code": "US",
            "telephone_number": "310-828-4530",
            "fax_number": "310-453-4613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10250 Santa Monica Blvd Ste 2440",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900676593",
            "country_code": "US",
            "telephone_number": "310-286-0122",
            "fax_number": "102-860-1253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4560 Admiralty Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Marina Del Rey",
            "state": "CA",
            "postal_code": "902925424",
            "country_code": "US",
            "telephone_number": "310-827-3700",
            "fax_number": "105-785-3793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Sepulveda Blvd Ste 2660",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902306432",
            "country_code": "US",
            "telephone_number": "310-313-0020",
            "fax_number": "310-313-0060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "VICTORIA BELLE",
        "middle_name": "YEA RI",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A16924",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "16924",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "20A16924",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A16924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yana Sheth
• Margaret Shi, PHARMD
• Kevin P Shiah, DO, MS
• Sze-Wei Tang Shimizu, M.D
• Ariel Shimmon
• Youngju Shin, LAC
• Grace Shinn
• Charli Louise Shipman, MS, CCC-SLP
• Shortstayrentals LLC
• Shreeji Healthcare Inc

• Family Medicine Physician in Moreno Valley, CA
• Providers in Moreno Valley, 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 Jul 15, 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.

Verify at the official NPI Registry.