Shine Medical Group Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A37463 Issued in CA

Legal business name

SHINE MEDICAL GROUP INC.

Practice address

1901 W Badillo St
West Covina, CA 91790-1133

Phone

(626) 962-5625

Fax

(626) 962-2566

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Federico Casas Hinojosa, P.A.C.NPI 1558550343

Title

President

Phone

(626) 962-5625

Specialties & licenses 1

Addresses

Other names 1

• Casas Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Federico Hinojosa, PA.

  • Medical Physician Assistant
  • West Covina, CA
  • NPI 1558550343
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1639233166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W BADILLO ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917901133",
            "telephone_number": "626-962-5625",
            "fax_number": "626-962-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W BADILLO ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917901133",
            "telephone_number": "626-962-5625",
            "fax_number": "626-962-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "HINOJOSA",
        "authorized_official_first_name": "FEDERICO",
        "authorized_official_middle_name": "CASAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-962-5625",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.A.C."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A37463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casas Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jagat Shetty, MD
• Julie Shewmaker
• Jenny Shi
• Kanoknuch Shiflett, D.D.S.
• Oumaima Shilleh
• Shinning Care
• Shirley R. Villarica, M.D. Inc.
• Jessica Shivers
• Lina E. Shuhaibar, M.D.
• Lie H. Sie, D.D.S.

• Family Medicine Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.