Individual provider Active NPI

Victoria Y Shin, MD

  • Cardiovascular Disease Physician
  • Torrance, CA
National Provider Identifier
1841481173
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A75292 Issued in CA
Practice address
1000 W Carson St # 405
Torrance, CA 90502-2004
Phone
(310) 222-2515
NPI assigned
Aug 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A75292 CA Primary

Addresses

Primary practice location

1000 W Carson St # 405
Torrance, CA 90502-2004

Mailing address

1000 W Carson St # 405
Torrance, CA 90502-2004
Phone (310) 222-2515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040506001743 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Peripheral Vascular Disease 5698764512 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Critical Care (Intensivists), Internal Medicine, Peripheral Vascular Disease
Education
University of Cincinnati College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cor Healthcare Medical AssociatesGroup PAC ID 0547157976, 25 clinicians
Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians

Practice addresses (Care Compare)

2841 Lomita Blvd
Suite 100
Torrance, CA 90505-5100
Phone (310) 257-0508

2841 Lomita Blvd
Suite 235
Torrance, CA 90505-5111
Phone (310) 517-8950

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Memorial Medical Center CurrentSince Jan 1, 2008 Accepting new patients
Cor Healthcare Medical Associates Cardiovascular Disease CurrentSince Apr 1, 2022 Accepting new patients
Torrance Memorial Medical Center CurrentSince Jan 1, 2008 Accepting new patients
Torrance Health Association Inc CurrentSince Jun 1, 2014 Accepting new patients
Southern California Hospitalist Network Medical Group Inc CurrentSince Nov 14, 2010 Accepting new patients
Healthcare Partners Affiliates Medical Group Cardiovascular Disease Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

1360 W 6th St
Ste 315
San Pedro, CA 90732
Phone (310) 547-9922

1000 W Carson St
#405
Torrance, CA 90502
Phone (310) 222-2515

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

2841 Lomita Blvd
Ste 100
Torrance, CA 90505
Phone (310) 257-0508

2841 Lomita Blvd
Ste 235
Torrance, CA 90505
Phone (310) 517-8950

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Torrance Memorial HealthTorrance, CA, CCN 050351 Hospital Corporate Director Jan 1, 2024
Torrance Memorial Medical CenterTorrance, CA, CCN 555599 Skilled nursing facility Corporate Officer Nov 15, 2024
Torrance Memorial Home HealthTorrance, CA, CCN 057788 Home health agency Corporate Director Jan 1, 2024
Torrance Memorial HospiceTorrance, CA, CCN 051615 Hospice Corporate Director Jan 1, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1841481173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST # 405",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022004",
            "telephone_number": "310-222-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST # 405",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022004",
            "telephone_number": "310-222-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "VICTORIA",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A75292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.