Individual provider Active NPI

Shawn Kristin Shintaku, FNP-C

  • Family Nurse Practitioner
  • Fountain Valley, CA
National Provider Identifier
1710342332
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95003514 Issued in CA
Practice address
9900 Talbert Ave Ste 301&302
Fountain Valley, CA 92708-5153
Phone
(714) 965-2500
Fax
(714) 965-2593
NPI assigned
Dec 26, 2015
Last updated
Oct 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95003514 CA Primary

Addresses

Primary practice location

9900 Talbert Ave Ste 301&302
Fountain Valley, CA 92708-5153

Mailing address

9900 Talbert Ave Ste 301&302
Fountain Valley, CA 92708-5153
Phone (714) 965-2500

Other practice location 1

9131 Adams Ave
Huntington Beach, CA 92646-3403
Phone (909) 484-4900

Other practice location 2

20981 Magnolia St
Huntington Beach, CA 92646-6338
Phone (714) 965-2500

Other names 1

  • Shawn Kristin Yamamoto Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170824001231 CA Practitioner - Nurse Practitioner 7810269990 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riviera Medical Corporation CurrentSince Oct 27, 2020 Accepting new patients
Edinger Medical Group, Inc. PastSince Oct 1, 2024 Accepting new patients

Locations

360 San Miguel Dr
Ste 107
Newport Beach, CA 92660
Phone (949) 504-8700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJDBDD
  • Direct secure messaging: shawn.shintaku.2@24668.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1451088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1710342332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 TALBERT AVE STE 301&302",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-965-2500",
            "fax_number": "714-965-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 TALBERT AVE STE 301&302",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-965-2500",
            "fax_number": "714-965-2593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9131 Adams Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926463403",
            "country_code": "US",
            "telephone_number": "909-484-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20981 Magnolia St",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926466338",
            "country_code": "US",
            "telephone_number": "714-965-2500",
            "fax_number": "714-965-2593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHINTAKU",
        "first_name": "SHAWN",
        "middle_name": "KRISTIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-26",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWN",
            "last_name": "YAMAMOTO",
            "middle_name": "KRISTIN",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.