Organization Active NPI

Shawn H. Hamilton, M.D.,Inc.

  • Community Health Worker
  • Irvine, CA
National Provider Identifier
1821174137
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
SHAWN H. HAMILTON, M.D.,INC.
Practice address
4902 Irvine Center Dr Ste 105
Irvine, CA 92604-3334
Phone
(949) 651-9671
Fax
(949) 653-0556
NPI assigned
Oct 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Shawn Hwang Hamilton, MD MBANPI 1134270069
Title
President/Ceo, Physician
Phone
(702) 997-6651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

4902 Irvine Center Dr Ste 105
Irvine, CA 92604-3334

Mailing address

1636 Crisp Pear CT
Las Vegas, NV 89108-1800
Phone (702) 997-6651

Other identifiers 2

IdentifierTypeStateIssuer
00A606520MedicaidCA
05D0558250OtherCACLIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050707000154 CA Part B Supplier - Clinic/Group Practice 0648216069 Receives reassigned benefits from 1 practitioner
Practice locations: Irvine, CA

National Provider Directory

National Provider Directory
Tax ID family
Shawn H Hamilton MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6300 Ehrhardt Ave
Sacramento, CA 95823
Phone (916) 404-3229

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1821174137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 CRISP PEAR CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891081800",
            "telephone_number": "702-997-6651",
            "fax_number": "949-653-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 IRVINE CENTER DR STE 105",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043334",
            "telephone_number": "949-651-9671",
            "fax_number": "949-653-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN H. HAMILTON, M.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-29",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "HWANG",
        "authorized_official_title_or_position": "PRESIDENT/CEO, PHYSICIAN",
        "authorized_official_telephone_number": "702-997-6651",
        "authorized_official_credential": "MD MBA"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A606520",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0558250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.