Junseok Shim, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

3704 Issued in CA

Practice address

23822 Valencia Blvd Ste 103
Santa Clarita, CA 91355-5303

Phone

(661) 253-3277

Fax

(661) 289-1490

NPI assigned

Jun 23, 2022

Last updated

Jul 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• John Shim Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northland Hearing Centers IncGroup PAC ID 3072514884, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northland Hearing Centers, Inc.

  • Hearing and Speech Clinic/Center
  • Eden Prairie, MN
  • NPI 1225070667

  Audiologist, CA

  Medicare reassignment Care Compare group NPD
• Bellows Hearing Institute, LLC

  • Audiologist-Hearing Aid Fitter
  • Palm Desert, CA
  • NPI 1861827073
  NPD (past)
• Northland Hearing Center Inc

  • Hearing and Speech Clinic/Center
  • Los Banos, CA
  • NPI 1457841454
  NPD (past)
• Northland Hearing Centers, Inc.

  dba All American Hearing

  • Hearing and Speech Clinic/Center
  • Sparta, IL
  • NPI 1184677791

  Hearing Instrument Specialist

  NPD (past)

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1265163802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WASHINGTON AVE S",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23822 VALENCIA BLVD STE 103",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913555303",
            "telephone_number": "661-253-3277",
            "fax_number": "661-289-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIM",
        "first_name": "JUNSEOK",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "3704",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "SHIM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Austin Sheppard, RN
• Crystal Nicole Shermaine, N.P.
• Larry M Sherman, M.D.
• Travis L Shiba
• Desirae Morgan Shields
• Vaheh Shirvanian, M.D.
• Bettina Kathleen Shockley, PT
• Maclain Everett Shumway
• Dara Siassi, DOCTOR OF PHARMACY
• Lesly Vanessa Sibrian

• Audiologist in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.