JEAN MICHIKO SHIRAKI
NPI 1144684382
Family Medicine in San Diego, CA

Q: What is Jean Shiraki's NPI number?

The NPI number for Jean Shiraki is 1144684382. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Q: What is Jean Shiraki's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jean Shiraki was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 13, 2016PECOS EnrolledAccepts Medicare Assignment

5454 EL CAJON BLVD, SAN DIEGO, CA 92115(619) 515-2400(619) 795-2756 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jean Michiko Shiraki NPPES

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

JEAN MICHIKO SHIRAKI (NPI 1144684382) is an individual family medicine provider in San Diego, California, licensed in California (17577) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Scranton, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1144684382

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJEAN MICHIKO SHIRAKI

Location Address5454 EL CAJON BLVDSan Diego, CA 92115-3621

Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300

Phone(619) 515-2400

Fax(619) 795-2756

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 13, 2016

Last NPPES UpdateMarch 8, 2021

NPPES CertifiedMarch 8, 2021

✔ NPI 1144684382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · 17577

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5454 EL CAJON BLVD, San Diego, CA 92115

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Secondary Practice Location 1

Location 1501 Madison AveScranton, PA 18510-2401 · Phone (570) 343-2383

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

Jean Michiko Shiraki 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 ID7719273168

PECOS Enrollment IDI20191024000971

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 92115 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.

DR. RAMANDEEP SINGH DHILLON M.D.

Family Medicine