Individual provider Active NPI

Christianne J Transfiguracion Shin

  • Podiatrist
  • Murrieta, CA
National Provider Identifier
1235150467
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4573 Issued in CA
Practice address
24640 Jefferson Ave Ste 109
Murrieta, CA 92562-9027
Phone
(951) 677-1323
Fax
(951) 239-4233
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4573 CA Primary

Addresses

Primary practice location

24640 Jefferson Ave Ste 109
Murrieta, CA 92562-9027

Mailing address

24640 Jefferson Ave Ste 109
Murrieta, CA 92562-9027
Phone (951) 677-1323

Other identifiers 1

IdentifierTypeStateIssuer
000E45730MedicaidCA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041209001120 CA Practitioner - Podiatry 8820055924 Reassigns benefits to 2 organizations
Practice locations: Murrieta, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire Podiatry IncGroup PAC ID 2264845791, 6 clinicians

Practice addresses (Care Compare)

24640 Jefferson Ave
Suite 109
Murrieta, CA 92562-9027
Phone (951) 677-1323

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue31
Removal of skin lesions1-10
Removal of nail tissue929
Removal or shaving of skin growth355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4573CAMDPodiatrist
4573CAMDPediatric Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Podiatry, Inc Foot & Ankle Surgery CurrentSince Jan 12, 2012 Accepting new patients
White Memorial Medical Group, Inc. Podiatrist Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients

Locations

24640 Jefferson Ave
Ste 109
Murrieta, CA 92562
Phone (909) 677-1323

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 1

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1235150467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24640 JEFFERSON AVE STE 109",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629027",
            "telephone_number": "951-677-1323",
            "fax_number": "951-239-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24640 JEFFERSON AVE STE 109",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629027",
            "telephone_number": "951-677-1323",
            "fax_number": "951-239-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRANSFIGURACION SHIN",
        "first_name": "CHRISTIANNE",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E45730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.