Richard C Shin, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A79944 Issued in CA

Practice address

3751 Katella Ave
Los Alamitos, CA 90720-3101

Phone

(714) 826-6400

NPI assigned

Nov 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Diagnostic Radiology

Education

Northwestern University Feinberg Medical School, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Medical Imaging Healthcare IncGroup PAC ID 0143311241, 59 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 32)

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.

• United Medical Imaging Healthcare, Inc.

  • Radiology Clinic/Center
  • Downey, CA
  • NPI 1760572036
  Medicare reassignment Care Compare group NPD
• United Medical Imaging Healthcare, Inc.

  • Radiology Clinic/Center
  • West Covina, CA
  • NPI 1144617416
  NPD
• United Medical Imaging Healthcare, Inc.

  • Mammography Clinic/Center
  • Torrance, CA
  • NPI 1336934397
  NPD
• Memrad Medical Group Inc

  • Radiology Clinic/Center
  • Long Beach, CA
  • NPI 1831173905
  NPD (past)
• United Medical Imaging Healthcare Inc.

  • Radiology Clinic/Center
  • Anaheim, CA
  • NPI 1225310741
  NPD (past)
• United Medical Imaging Healthcare Inc.

  • Radiology Clinic/Center
  • Fountain Valley, CA
  • NPI 1750670428
  NPD (past)
• United Medical Imaging Healthcare, Inc.

  • Radiology Clinic/Center
  • Santa Ana, CA
  • NPI 1053975052
  NPD (past)
• United Medical Imaging Healthcare, Inc.

  • Radiology Clinic/Center
  • Gardena, CA
  • NPI 1104916477
  NPD (past)
• United Medical Imaging Healthcare, Inc.

  • Radiology Clinic/Center
  • Buena Park, CA
  • NPI 1124118492
  NPD (past)
• United Medical Imaging Healthcare, Inc.

  • Radiology Clinic/Center
  • Northridge, CA
  • NPI 1174069181
  NPD (past)
• United Medical Imaging Healthcare, Inc.

  • Radiology Clinic/Center
  • Los Angeles, CA
  • NPI 1225612864
  NPD (past)
• United Medical Imaging Healthcare, Inc.

  • Radiology Clinic/Center
  • Irvine, CA
  • NPI 1265522536
  NPD (past)

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

{
    "created_epoch": "1132358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1356323737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 KATELLA AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203101",
            "telephone_number": "714-826-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 KATELLA AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203101",
            "telephone_number": "714-826-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "RICHARD",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-19",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A79944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A799440",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00328736",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "00A799440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Ezra Sheppard, DO
• Mason Shieh, M.D., M.B.A.
• Karen Kay Shifflett-Collins, MFT
• Constance S. Shih, M.D.
• Margaret Shih, L.AC.
• Jane K. Shintaku
• Shivanand R Pole MD Inc
• Shohet Ear Associates Medical Group, Inc
• Shokoufeh Shokri
• Puja Shrestha, MD

• Diagnostic Radiology Physician in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.