Shin Imaging Radiology Associates

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

SHIN IMAGING RADIOLOGY ASSOCIATES

Practice address

1955 Sunnycrest Dr
Ste 110
Fullerton, CA 92835-3654

Phone

(714) 578-8882

Fax

(714) 578-8886

NPI assigned

Mar 21, 2017

Last updated

Mar 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roy DormanNPI 1366519886

Title

President

Phone

(714) 578-8882

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roy Loil Dorman Jr., MD

  • Diagnostic Radiology Physician
  • Anaheim, CA
  • NPI 1366519886
  NPD Authorized official

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1831620996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 SUNNYCREST DR",
            "address_2": "STE 110",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353654",
            "telephone_number": "714-578-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 SUNNYCREST DR",
            "address_2": "STE 110",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353654",
            "telephone_number": "714-578-8882",
            "fax_number": "714-578-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIN IMAGING RADIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "DORMAN",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-578-8882"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tylah Sherlock
• Gail Sherman
• Fnu Sheryl Felix
• Tommy Sheu, MD
• Shin Imaging LLC (Shin Imaging Center)
• Abraham Kyung Shin, AC
• Hannah Yae Eun Shin
• Seul Ah Shin
• Seung Shin
• Susan M. Shin, O.D.

• Radiology Clinic/Center in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.