NPIMap

Individual provider Active NPI

Edward C Shin, M.D.

  • Orthopaedic Surgery Physician
  • Burlingame, CA
National Provider Identifier
1720245186
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A108147 Issued in CA
Practice address
1838 El Camino Real Ste 100
Burlingame, CA 94010-3105
Phone
(415) 346-1114
Fax
(415) 634-0206
NPI assigned
May 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A108147 CA
Orthopaedic Surgery Physician 207X00000X A108147 CA Primary

Addresses

Primary practice location

1838 El Camino Real Ste 100
Burlingame, CA 94010-3105

Mailing address

1838 El Camino Real Ste 100
Burlingame, CA 94010-3105
Phone (415) 346-1114

Other practice location 1

2299 Post St Ste 107
San Francisco, CA 94115-3460
Phone (415) 346-1114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130910000948 CA Practitioner - Orthopedic Surgery 1355585530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, Davis School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1838 El Camino Real
Suite 100
Burlingame, CA 94010-3105
Phone (415) 346-1114

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement19
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)16
Upper limb (arm) arthroscopy (minimally invasive joint repair)21
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A108147CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Burlingame Orthopedics and Sports Medicine Associates Inc Orthopaedic Surgery CurrentSince Apr 1, 2023 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Soar Surgery Center, LLC Orthopaedic Surgery Past Accepting new patients
St. Mary's Medical Center Past Accepting new patients

Locations

1838 El Camino Real
Ste 100
Burlingame, CA 94010
Phone (415) 287-0859

2299 Post St
Ste 107
San Francisco, CA 94115
Phone (415) 345-9400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: eshin26074@smch.direct-ci.com

Organizations & group practices 6

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 8

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1720245186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 EL CAMINO REAL STE 100",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103105",
            "telephone_number": "415-346-1114",
            "fax_number": "415-634-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 EL CAMINO REAL STE 100",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103105",
            "telephone_number": "415-346-1114",
            "fax_number": "415-634-0206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2299 Post St Ste 107",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941153460",
            "country_code": "US",
            "telephone_number": "415-346-1114",
            "fax_number": "415-634-0206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "EDWARD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2024-08-05",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A108147",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A108147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.