KYLE SHEN
NPI 1154077691
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since February 23, 2022
200 W ARBOR DR # MC8425, SAN DIEGO, CA 92103(619) 543-6266 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2025, Feb 23, 2022 (2 updates tracked since 2022).

About Kyle Shen NPPES

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

KYLE SHEN (NPI 1154077691) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since February 2022. He maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1154077691
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKYLE SHEN
Location Address200 W ARBOR DR # MC8425San Diego, CA 92103-1911
Mailing Address155 N Fresno StFresno, CA 93701-2302
Sole ProprietorNo
Enumeration DateFebruary 23, 2022
Last NPPES UpdateNovember 24, 20252 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
NPI 1154077691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 W ARBOR DR # MC8425, San Diego, CA 92103

Secondary Practice Location 1

Location 1155 N Fresno St Ste 251Fresno, CA 93701-2302 · Phone (559) 499-6400

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.

Internal Medicine
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
Internal Medicine
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
Internal Medicine
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
Internal Medicine
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103

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 Kyle Shen's NPI number?

The NPI number for Kyle Shen is 1154077691. It was assigned to this individual provider in the NPPES registry on February 23, 2022.

Where is Kyle Shen located?

Kyle Shen practices at 200 W Arbor Dr # Mc8425, San Diego, CA 92103. The listed phone number is (619) 543-6266.

What is Kyle Shen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kyle Shen was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.