Peter B. Shin,M.D.,Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A46271 Issued in CA

Legal business name

PETER B. SHIN,M.D.,INC

Practice address

3440 Lomita Blvd
427
Torrance, CA 90505-4801

Phone

(310) 326-2161

Fax

(310) 534-5026

NPI assigned

Aug 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Peter B ShinNPI 1770590655

Title

Ceo

Phone

(310) 326-2161

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Peter B. Shin, M.D., Inc.

  • Non-Pharmacy Dispensing Site
  • Torrance, CA
  • NPI 1902280399
  NPPES parent name

Practitioners 1

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

• Peter B Shin, MD

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1770590655
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1740595396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 LOMITA BLVD",
            "address_2": "427",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054801",
            "telephone_number": "310-326-2161",
            "fax_number": "310-534-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 LOMITA BLVD",
            "address_2": "427",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054801",
            "telephone_number": "310-326-2161",
            "fax_number": "310-534-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER B. SHIN,M.D.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-06",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-326-2161",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A46271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A462710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Albina Pesnec
• Renalyn Reyes Pesquiza
• Robinson Pesquiza
• Termisha Pete
• Peter B. Shin, M.D., Inc.
• Peter Gleiberman, M.D. a Professional Corporation
• Peter M Sinclair DDS PC
• Peter M Sinclair, DDS a Professional Dental Corpor
• Peter S Borden a Med Corp
• Peter S Borden MD

• Primary Care Clinic/Center in Torrance, CA
• Providers in Torrance, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.