Active NPI
Maung Tun Shin, M.D.
- Anesthesiology Physician
- Redwood City, CA
National Provider Identifier
1356382568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A30387
- Practice address
- 170 Almeda Bluvd
Sequoia Health Center
Redwood City, CA 94062 - Phone
- (650) 367-5632
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A30387 | CA | Primary |
Addresses
Primary practice location
170 Almeda Bluvd
Sequoia Health Center
Redwood City, CA 94062
Mailing address
170 Alameda Bluvd
Sequoia Health Center
Redwood City, CA 94062
Phone (650) 903-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A303870 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30387 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419897600000",
"number": "1356382568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 ALAMEDA BLUVD",
"address_2": "SEQUOIA HEALTH CENTER",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "94062",
"telephone_number": "650-903-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 ALMEDA BLUVD",
"address_2": "SEQUOIA HEALTH CENTER",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "94062",
"telephone_number": "650-367-5632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN",
"first_name": "MAUNG",
"middle_name": "TUN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2014-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A30387",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A303870",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.