Ha Yeon Shin, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

A185748 Issued in CA

Practice address

9833 Pacific Heights Blvd Ste J
San Diego, CA 92121-4707

Phone

(858) 458-0940

Fax

(858) 458-3688

NPI assigned

Mar 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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

Allergy/ImmunologyAlso: Internal Medicine

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Modena Allergy and Asthma II Inc.Group PAC ID 1658852124, 6 clinicians

Modena Allergy and Asthma Inc.Group PAC ID 9436545274, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Modena Allergy & Asthma II Inc.

  • Allergy & Immunology Physician
  • Vista, CA
  • NPI 1518836444
  Medicare reassignment Care Compare group NPD
• Modena Allergy & Asthma Inc.

  • Allergy & Immunology Physician
  • La Jolla, CA
  • NPI 1508527797
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1497216360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 710",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371218",
            "telephone_number": "858-260-2977",
            "fax_number": "858-260-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9833 PACIFIC HEIGHTS BLVD STE J",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214707",
            "telephone_number": "858-458-0940",
            "fax_number": "858-458-3688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9850 Genesee Ave Ste 710",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371218",
            "country_code": "US",
            "telephone_number": "858-260-2977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Prospect Pl Ste 220",
            "address_purpose": "LOCATION",
            "city": "Coronado",
            "state": "CA",
            "postal_code": "921181978",
            "country_code": "US",
            "telephone_number": "858-458-0940",
            "fax_number": "858-458-3688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "HA",
        "middle_name": "YEON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A185748",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A185748",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A185748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Robert Shimpeno, RBT
• Angela Jihae Shin, M.D.
• April Shin
• Esther Shin
• Esther J Shin
• Joan Shin
• Young Shin, PHARMD
• Jason Shindo, DMD
• Yuri Shindo, M.D.
• Shine Place

• Allergy & Immunology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.