Individual provider Active NPI

John Sanghyun Shin, DISPENSER

  • Hearing Instrument Specialist
  • Garden Grove, CA
National Provider Identifier
1962672444
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA7331 Issued in CA
Practice address
12902 Brookhurst St
Ste D
Garden Grove, CA 92840-4881
Phone
(714) 534-5678
Fax
(714) 534-3114
NPI assigned
Mar 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA7331 CA Primary

Addresses

Primary practice location

12902 Brookhurst St
Ste D
Garden Grove, CA 92840-4881

Mailing address

414 Paddock CT
Santa Rosa, CA 95401-0819
Phone (714) 534-5678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HA7331CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sos Special Office Services Past Accepting new patients
Shins Professional Hearing AIDS Inc Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1962672444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 PADDOCK CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954010819",
            "telephone_number": "714-534-5678",
            "fax_number": "707-570-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12902 BROOKHURST ST",
            "address_2": "STE D",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404881",
            "telephone_number": "714-534-5678",
            "fax_number": "714-534-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "JOHN",
        "middle_name": "SANGHYUN",
        "credential": "DISPENSER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA7331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.