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JUNGOOK DEVIN SHIN M.D.
NPI 1093152894
Family Medicine in La Mesa, CA

Active since June 03, 2013PECOS EnrolledAccepts Medicare Assignment
8080 PARKWAY DR, LA MESA, CA 91942(800) 290-5000(800) 290-5000 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 29, 2021, Sep 29, 2016 (2 updates tracked since 2016).

About Jungook Devin Shin M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUNGOOK DEVIN SHIN M.D. (NPI 1093152894) is an individual family medicine provider in La Mesa, California, licensed in California (A143622) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1093152894
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJUNGOOK DEVIN SHINCredential: M.D.
Location Address8080 PARKWAY DRLa Mesa, CA 91942-2104
Mailing Address8080 Parkway DrLa Mesa, CA 91942-2104 · (800) 290-5000 · Fax (800) 290-5000
Phone(800) 290-5000
Fax(800) 290-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 3, 2013
Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration
✔ NPI 1093152894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A143622
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8080 PARKWAY DR, La Mesa, CA 91942
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jungook Devin Shin M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820386139
PECOS Enrollment IDI20161019000581
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91942 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN BRICK D.O.
Family Medicine
8080 PARKWAY DR
LA MESA, CA 91942
San Diego County (619) 528-5000
JOSEPH KIM PHARMD
Pharmacist
8080 PARKWAY DR
LA MESA, CA 91942
San Diego County (619) 589-3456
JESSE LYON M.D.
Internal Medicine
8080 PARKWAY DR
LA MESA, CA 91942
San Diego County (619) 528-5000
MRS. SUSANA PERALTA MARQUEZ NURSE PRACTITIONER
Nurse Practitioner (Family)
8080 PARKWAY DR
LA MESA, CA 91942
San Diego County (619) 589-3296
BRIAN M KLEKER M.D.
Dermatology
8080 PARKWAY DR
LA MESA, CA 91942
San Diego County (619) 528-5000
DR. STEPHAN JOHN KEMPIAK M.D,PH.D
Dermatology
8080 PARKWAY DR
LA MESA, CA 91942
San Diego County (800) 290-5000
DR. JOSHUA RYAN SMITH D.O.
Family Medicine
8080 PARKWAY DR
LA MESA, CA 91942
San Diego County (800) 290-5000
KELLY WALSH
Pharmacist
8080 PARKWAY DR
LA MESA, CA 91942
San Diego County (619) 589-3456

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jungook Shin's NPI number?

The NPI number for Jungook Shin is 1093152894. It was assigned to this individual provider in the NPPES registry on June 3, 2013.

Where is Jungook Shin located?

Jungook Shin practices at 8080 Parkway Dr, La Mesa, CA 91942. The listed phone number is (800) 290-5000.

What is Jungook Shin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jungook Shin enrolled in Medicare?

Yes. Jungook Shin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jungook Shin was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.