Jason Haeshik Shin, M. D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A46382 Issued in CA

Practice address

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

Phone

(909) 593-2031

Fax

(909) 593-2032

NPI assigned

Jan 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

GastroenterologyAlso: Internal Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Garden Grove Hospital & Medical Center Hospital, Garden Grove, CA, CCN 050230
• Foothill Regional Medical Center Hospital, Tustin, CA, CCN 050780

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

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

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.

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

  • Clinic/Center
  • Pomona, CA
  • NPI 1275897878
  Medicare reassignment NPD Authorized official
• Bryan X Lee MD a Professional Medical Corporation

  • Interventional Pain Medicine Physician
  • Pomona, CA
  • NPI 1144526773
  NPD (past)
• Pomona Valley Hospital Medical Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1518067586
  NPD (past)
• Prime Healthcare Services - Montclair, LLC

  • General Acute Care Hospital
  • Montclair, CA
  • NPI 1992721161
  NPD (past)
• San Antonio Regional Hospital

  • General Acute Care Hospital
  • Upland, CA
  • NPI 1780681189
  NPD (past)
• South Coast Global Medical Center, Inc

  • General Acute Care Hospital
  • Santa Ana, CA
  • NPI 1558354258
  NPD (past)
• Yong W Chung MD a Medical Corporation

  • Gastroenterology Physician
  • Santa Ana, CA
  • NPI 1689731309
  NPD (past)

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

• Alta Newport Hospital, LLC

  • General Acute Care Hospital
  • Tustin, CA
  • NPI 1043632938
  Care Compare affiliation
• Prime Healthcare Services - Garden Grove LLC

  • General Acute Care Hospital
  • Garden Grove, CA
  • NPI 1659538858
  Care Compare affiliation

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1316926678",
    "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": {
        "last_name": "SHIN",
        "first_name": "JASON",
        "middle_name": "HAESHIK",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A46382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Joshua Shields, LISW
• Samantha Shigenaga
• Tyson Shih, MD
• Iris Shim
• Harry Shin
• Jiwon Shin, OTR/L
• Joseph Joonyoung Shin
• Niloofar Shirazi
• Mary Shirley
• Danika Shively

• Gastroenterology Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Gastroenterology Physician 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; 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.