YOUNG SHIN N.P.
NPI 1114460565
Nurse Practitioner - Adult Health in El Segundo, CA

Q: What is Young Shin's NPI number?

The NPI number for Young Shin is 1114460565. It was assigned to this individual provider in the NPPES registry on December 1, 2016.

Q: What is Young Shin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Young Shin was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since December 01, 2016PECOS Enrolled

2101 ROSECRANS AVE # 3230, EL SEGUNDO, CA 90245(323) 628-8671 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Young Shin N.p. NPPES

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

YOUNG SHIN N.P. (NPI 1114460565) is an individual adult health provider in El Segundo, California, licensed in California (8481) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in La Canada.

NPPES Registry Identity

NPI1114460565

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameYOUNG SHINCredential: N.P.

Location Address2101 ROSECRANS AVE # 3230El Segundo, CA 90245-4749

Mailing Address1700 Westwood BlvdLos Angeles, CA 90024-5608 · (818) 952-5097 · Fax (888) 580-6761

Phone(323) 628-8671

Sole ProprietorYes

Enumeration DateDecember 1, 2016

Last NPPES UpdateOctober 24, 2019

✔ NPI 1114460565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in CA · 8481

2101 ROSECRANS AVE # 3230, El Segundo, CA 90245

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Secondary Practice Location 1

Location 14956 Revlon DrLA Canada, CA 91011-3630 · Phone (818) 952-5097 · Fax (888) 580-6761

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Young Shin N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 90245 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 18

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

KENN RAFANAN

Nurse Practitioner (Family)