Chris Changeun Shin, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A61649 Issued in CA

Practice address

408 S Beach Blvd Ste 204
Anaheim, CA 92804-1878

Phone

(714) 577-2340

Fax

(714) 710-1197

NPI assigned

Jul 24, 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

Other identifiers 1

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

Internal Medicine

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

James M JungGroup PAC ID 1355323502, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ace Home Health, Inc. Home health agency, Los Angeles, CA, CCN 058082
• Western Home Care, Inc Home health agency, Buena Park, CA, CCN 058077

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chris.shin@669898658414596.direct.elationemr.com

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.

• Chris C. Shin, MD, Inc

  • Internal Medicine Physician
  • Anaheim, CA
  • NPI 1962632414
  Medicare reassignment NPD Authorized official
• James M Jung

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1316139223
  Medicare reassignment Care Compare group NPD

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

• Ace Home Health, Inc.

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1205808326
  Care Compare affiliation
• Western Home Care, Inc.

  • Home Health Agency
  • Buena Park, CA
  • NPI 1578581518
  Care Compare affiliation

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1326060179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S BEACH BLVD STE 204",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041878",
            "telephone_number": "714-577-2340",
            "fax_number": "714-710-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S BEACH BLVD STE 204",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041878",
            "telephone_number": "714-577-2340",
            "fax_number": "714-710-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "CHRIS",
        "middle_name": "CHANGEUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A616490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Shih, M.D.
• Jina Shim
• Ryan Endo Shimogaki
• Ronald Kenji Shimoide, DDS
• Bongsun Shin
• Diane Shin, PHARMD
• James S Shin, MD
• Jechul Shin, L.AC.
• David Masakazu Shinmei, M.D.
• Inhee Shinn, L.AC., D.O.M.

• Internal Medicine Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.