Jason H. Shin, MD, Inc., a Professional Medical Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A46382 Issued in CA

Legal business name

JASON H. SHIN, MD, INC., A PROFESSIONAL MEDICAL CORPORATION

Practice address

250 W Bonita Ave
Suite 250
Pomona, CA 91767-1863

Phone

(909) 593-2031

Fax

(909) 593-2032

NPI assigned

Jun 28, 2012

Last updated

Mar 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason H Shin, MDNPI 1316926678

Title

President

Phone

(909) 593-2031

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GFCABA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Haeshik Shin, M. D.

  • Gastroenterology Physician
  • Pomona, CA
  • NPI 1316926678
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584662400000",
    "number": "1275897878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W BONITA AVE",
            "address_2": "SUITE 250",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671863",
            "telephone_number": "909-593-2031",
            "fax_number": "909-593-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W BONITA AVE",
            "address_2": "SUITE 250",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671863",
            "telephone_number": "909-593-2031",
            "fax_number": "909-593-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON H. SHIN, MD, INC., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-593-2031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A46382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha V Jape, NP
• Elizabeth Jara
• Liliana Araceli Jaramillo
• Kellie Marie Jarvie
• Michael Dryden Jaso, DO
• Danielle Jasso
• Elva Jasso
• Igsel Jasso
• Roxanne R. Jauregui
• Taylor Jauregui

• Clinic/Center in Pomona, CA
• Providers in Pomona, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.