Min Soo Shin, MD,APC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A40822 Issued in CA

Practice address

2968 E Florence Ave
Huntington Park, CA 90255

Phone

(323) 583-1500

Fax

(323) 583-1661

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Internal MedicineAlso: Cardiovascular Disease (Cardiology)

Education

Other, 1974

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital of Huntington Park Hospital, Huntington Park, CA, CCN 050091
• Keck Hospital of Usc Hospital, Los Angeles, CA, CCN 050696
• East Los Angeles Doctors Hospital Hospital, Los Angeles, CA, CCN 050641
• Bell Convalescent Hospital Nursing home, Bell, CA, CCN 056218

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Min Soo Shin MD, Apc

  • Cardiovascular Disease Physician
  • Huntington Park, CA
  • NPI 1235425273
  Medicare reassignment NPD Authorized official
• Alta Los Angeles Hospital, Inc

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1114132685
  NPD (past)
• Eladh, LP

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1417957473
  NPD (past)

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

• CHHP Holdings II, LLC

  • General Acute Care Hospital
  • Huntington Park, CA
  • NPI 1891059127
  Care Compare affiliation
• East la Doctors Hospital LP

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1841477973

  Hospital

  Care Compare affiliation
• Eladh, LP

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1417957473
  Care Compare affiliation
• Eladh, LP

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1720298326

  Hospital

  Care Compare affiliation
• Keck Medical Center of Usc

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1013514199
  Care Compare affiliation
• P & J Hospital, Inc.

  • Skilled Nursing Facility
  • Bell, CA
  • NPI 1376575449

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1720005259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2968 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "90255",
            "telephone_number": "323-583-1500",
            "fax_number": "323-583-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2968 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "90255",
            "telephone_number": "323-583-1500",
            "fax_number": "323-583-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "MIN",
        "middle_name": "SOO",
        "credential": "MD,APC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A40822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A408220",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "27-4412313",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latisha Shaw
• Matthew Shechmeister
• Yoshiki Shibano
• Andrew C Shieh, D.D.S
• Jessica G Shin, DDS
• Shura Moreno MD Apc
• Shakir Edward Shy
• Jamal U Siddiqui, M.D.
• Jerry Siderman, DDS
• Siderman, Yampolsky Dental Corporation

• Cardiovascular Disease Physician in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.