DR. SHAYNE POULIN M.D.
NPI 1184915407
Family Medicine in San Bernardino, CA

Q: What is Shayne Poulin's NPI number?

The NPI number for Shayne Poulin is 1184915407. It was assigned to this individual provider in the NPPES registry on April 20, 2011. The provider is also known as Shayne Thompson.

Q: What is Shayne Poulin'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 Shayne Poulin was last updated on May 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 20, 2011

1873 COMMERCENTER W, SAN BERNARDINO, CA 92408(909) 890-5511(866) 886-7824 Get Directions Write a Review

NPPES record last updated: May 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2017, Dec 23, 2016 (2 updates tracked since 2016).

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About Dr. Shayne Poulin M.d. NPPES

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

DR. SHAYNE POULIN M.D. (NPI 1184915407) is an individual family medicine provider in San Bernardino, California, licensed in California (146174) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1184915407

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SHAYNE POULINCredential: M.D.

Location Address1873 COMMERCENTER WSan Bernardino, CA 92408-3303

Mailing Address700 S Tustin StOrange, CA 92866-3425 · (714) 922-4100 · Fax (866) 886-7824

Phone(909) 890-5511

Fax(866) 886-7824

Sole ProprietorNo

Enumeration DateApril 20, 2011

Last NPPES UpdateMay 12, 20172 updates tracked since enumeration

✔ NPI 1184915407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in CA · 146174✔ Licensed in MA · 260709

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.

1873 COMMERCENTER W, San Bernardino, CA 92408

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Other Names 1

Former Name (1)Shayne Thompson

Other Identifiers 2

Medicaid110097301AMA

Medicare PINS400169975MA

Other Providers at the Same Location NPPES 14

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

MRS. EVA GUARDADO RN

Registered Nurse