Changsub Alex Shin, PH.D., L.AC., P.T.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 6443 Issued in CA

Practice address

1426 Fillmore St
Suite 208
San Francisco, CA 94115-5236

Phone

(415) 931-7878

Fax

(415) 931-6724

NPI assigned

May 21, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487863007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 FILLMORE ST",
            "address_2": "SUITE 208",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941155236",
            "telephone_number": "415-931-7878",
            "fax_number": "415-931-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 FILLMORE ST",
            "address_2": "SUITE 208",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941155236",
            "telephone_number": "415-931-7878",
            "fax_number": "415-931-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "CHANGSUB",
        "middle_name": "ALEX",
        "name_prefix": "Mr.",
        "credential": "PH.D., L.AC., P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 6443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Paul Shimkus, CPO
• Kelly H. Shimokusu, M.D.
• Janet CHI-Jane Shimotake, M.D.
• Thomas K. Shimotake, M.D.
• Jung Shin Robin, D.D.S.
• Jaehoon Shin, M.D., PH.D.
• Jaekyu Shin, PHARM.D.
• Jaeyoun Shin, MS
• Josephine Ok Kyung Shin, PT
• Krystal Shin, PA-C

• Acupuncturist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.