Albert J Shin

Primary specialty

Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X

License

95012670 Issued in CA

Practice address

101 The City Dr S
Orange, CA 92868-3201

Phone

(714) 880-7812

NPI assigned

Dec 18, 2019

Sex

Male

Sole proprietor

Yes

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Regents of the University ofGroup PAC ID 8729983473, 236 clinicians

Willow Brook Critical Care Medical Group IncGroup PAC ID 3476975319, 16 clinicians

Pulmonary Consultants and Wellness Center Inc PCGroup PAC ID 9830418342, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centinela Hospital Medical Center Hospital, Inglewood, CA, CCN 050739
• Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058
• Saint Francis Medical Center Hospital, Lynwood, CA, CCN 050104

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pulmonary Consultants and Wellness Center Inc PC

  • Internal Medicine Physician
  • Inglewood, CA
  • NPI 1427440304

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Regents of the University of

  dba University Anesthesia Associates

  • Anesthesiology Physician
  • Orange, CA
  • NPI 1487602546

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Willow Brook Critical Care Medical Group, Inc

  • Hospitalist Physician
  • Glendale, CA
  • NPI 1811520224

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Foothill Pulmonary & Critical Care Consultants Medical Group Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Pasadena, CA
  • NPI 1205862489

  Multi-Specialty

  Medicare reassignment NPD
• Prohealth Partners a Medical Group

  • Hospitalist Physician
  • Torrance, CA
  • NPI 1649539206

  Multi-Specialty

  NPD
• Prohealth Partners, a Medical Group

  • Internal Medicine Physician
  • Lakewood, CA
  • NPI 1003949975

  Multi-Specialty

  NPD
• Prohealth Partners, a Medical Group, Inc.

  • Internal Medicine Physician
  • Pico Rivera, CA
  • NPI 1912899394

  Multi-Specialty

  NPD
• University of California Irvine

  dba UCI Infusion Center

  • Infusion Therapy Clinic/Center
  • Irvine, CA
  • NPI 1417027475
  NPD (past)
• University of California Irvine

  dba Uci Health

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  NPD (past)

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

• Dignity Community Care

  dba Glendale Memorial Hospital and Health Center

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1477610640
  Care Compare affiliation
• Prime Healthcare Centinela, LLC

  dba Centinela Hospital Medical Center

  • General Acute Care Hospital
  • Inglewood, CA
  • NPI 1336328244
  Care Compare affiliation
• Prime Healthcare Services - St Francis LLC

  dba St Francis Medical Center

  • General Acute Care Hospital
  • Lynwood, CA
  • NPI 1114547114
  Care Compare affiliation

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1558909705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 FAIR OAKS AVE APT 23",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304735",
            "telephone_number": "626-787-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-880-7812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1612 Fair Oaks Ave Apt 23",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "CA",
            "postal_code": "910304735",
            "country_code": "US",
            "telephone_number": "626-787-3237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "ALBERT",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-18",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "792313",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95012670",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "CA",
            "license": "95012670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica L Shill
• Kenneth Shim
• Prisca Shim
• Hal S Shimazu, MD
• Hilda Shimizu, B.S
• Caitlin Shin
• Erica Shin
• Eugene Shin
• Gina Shin
• Jennifer Shin

• Critical Care Medicine Nurse Practitioner in Orange, CA
• Providers in Orange, CA by specialty
• Critical Care Medicine Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.