Individual provider Active NPI

Jae Hyun Shin, M.D.

  • Infectious Disease Physician
  • Newport Beach, CA
National Provider Identifier
1669620142
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
C196708 Issued in CA
Practice address
320 Superior Ave Ste 370
Newport Beach, CA 92663-2795
Phone
(949) 515-3590
NPI assigned
Sep 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X C196708 CA Primary

Addresses

Primary practice location

320 Superior Ave Ste 370
Newport Beach, CA 92663-2795

Mailing address

33 Lacebark
Irvine, CA 92618-2243
Phone (585) 478-4654

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jshin272019@direct.healthsystem.virginia.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, CA, NM, AZ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180928002800 VA Practitioner - Infectious Disease 6002083342 Reassigns benefits to 2 organizations
I20240729004180 CA Practitioner - Infectious Disease 6002083342 Reassigns benefits to 2 organizations
I20251008004057 NM Practitioner - Internal MedicinePractitioner - Infectious Disease 6002083342 Reassigns benefits to 1 organization
I20260508003334 AZ Practitioner - Infectious Disease 6002083342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern California Id Associates IncGroup PAC ID 1153578679, 5 clinicians

Practice addresses (Care Compare)

320 Superior Ave
Suite 370
Newport Beach, CA 92663-2795
Phone (949) 515-3590

Hospital & facility affiliations

  • Hoag Home Health Home health agency, Newport Beach, CA, CCN 557412
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
43.43 of 100Reported as group
Quality
31.8
Improvement activities
0
Cost
81.68

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
79.76
Promoting interoperability
100
Improvement activities
40
Cost
75.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C196708CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Aug 13, 2018 Accepting new patients
Access Telecare, PLLC Infectious Disease CurrentSince Jun 6, 2025 Accepting new patients
Southern California Id Associates, Inc. Infectious Disease CurrentSince Sep 3, 2024 Accepting new patients
Access Telecare California, P.C. Infectious Disease CurrentSince Jun 6, 2025 Accepting new patients

Locations

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

320 Superior Ave
Ste 370
Newport Beach, CA 92663
Phone (949) 515-3590

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

1300 Jefferson Park Ave
Charlottesville, VA 22903
Phone (434) 924-2241

1300 Jefferson Park Ave
Fl 5
Charlottesville, VA 22903
Phone (434) 982-1700

1300 Jefferson Park Ave
Fl 4
Charlottesville, VA 22903
Phone (434) 924-5125

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jshin272019@direct.healthsystem.virginia.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1669620142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LACEBARK",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182243",
            "telephone_number": "585-478-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE STE 370",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632795",
            "telephone_number": "949-515-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "JAE",
        "middle_name": "HYUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "C196708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jshin272019@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1300 Jefferson Park Ave",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229033363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.