Tin Zar Shain, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A62266 Issued in CA

Practice address

10633 Grissom Avenue
Mather, CA 95655

Phone

(916) 366-5420

Fax

(916) 366-5441

NPI assigned

Feb 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Tin Zar Shain Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790759066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10633 GRISSOM AVENUE",
            "city": "MATHER",
            "state": "CA",
            "postal_code": "95655",
            "telephone_number": "916-366-5420",
            "fax_number": "916-366-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10633 GRISSOM AVENUE",
            "city": "MATHER",
            "state": "CA",
            "postal_code": "95655",
            "telephone_number": "916-366-5420",
            "fax_number": "916-366-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIN",
        "first_name": "TIN",
        "middle_name": "ZAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A62266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIN",
            "last_name": "SHAIN",
            "middle_name": "ZAR",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Griffin William Schultz, MD
• Kyle Schwartz, DC
• George Roman Semkiw, B.S., R.PH
• Megan Serda
• Pratik Bharat Shah, MD
• Carmen Shean - Dumitrescu
• Laurie Ann Sheerer, PHD
• Andrew Ryan Shelley, PSY.D.
• Roya Tabatabai Sheridan, M.D.
• Brahim Shettima, PHARMD

• Psychiatry Physician in Mather, CA
• Providers in Mather, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.