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JI WOONG SHIN PA-C
NPI 1245960772
Physician Assistant in Downey, CA

Active since June 16, 2022PECOS Enrolled
11938 PARAMOUNT BLVD, DOWNEY, CA 90242(562) 923-6060 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ji Woong Shin Pa-c NPPES

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

JI WOONG SHIN PA-C (NPI 1245960772) is an individual physician assistant in Downey, California and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245960772
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJI WOONG SHINCredential: PA-C
Location Address11938 PARAMOUNT BLVDDowney, CA 90242-2306
Mailing Address11938 Paramount BlvdDowney, CA 90242-2306 · (562) 923-6060
Phone(562) 923-6060
Sole ProprietorNo
Enumeration DateJune 16, 2022
Last NPPES UpdateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
✔ NPI 1245960772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11938 PARAMOUNT BLVD, Downey, CA 90242
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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 (PECOS)

Ji Woong Shin Pa-c 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 90242 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 12

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

DR. GARY MARTIN POPYAK DDS
Dentist (General Practice)
11938 PARAMOUNT BLVD, SUITE 4B
DOWNEY, CA 90242
Los Angeles County (562) 869-3217
DR. ELAINE Y LAU DDS
Dentist
11938 PARAMOUNT BLVD, #B
DOWNEY, CA 90242
Los Angeles County (562) 869-3217
WINIFRED C EZENWA NURSE PRACTITIONER
Nurse Practitioner (Family)
11938 PARAMOUNT BLVD
DOWNEY, CA 90242
Los Angeles County (562) 923-6060
JAMES C. ARTHUR, D.D.S., INC. A PROFESSIONAL CORPORATION
Dentist (Pediatric Dentistry)
11938 PARAMOUNT BLVD, SUITE B
DOWNEY, CA 90242
Los Angeles County (562) 869-3217
MRS. HELEN NGOZI NJOKU
Nurse Practitioner
11938 PARAMOUNT BLVD
DOWNEY, CA 90242
Los Angeles County (562) 923-6060
IFEOMA CYNTHIA ANIEMEKA I
Nurse Practitioner (Family)
11938 PARAMOUNT BLVD
DOWNEY, CA 90242
Los Angeles County (562) 923-6060
DOMINIQUE MICHELLE GILLYARD DNP
Nurse Practitioner (Family)
11938 PARAMOUNT BLVD
DOWNEY, CA 90242
Los Angeles County (657) 391-3713
OKSANA LELYUKH KOSTYUKEVICH PA-C
Physician Assistant
11938 PARAMOUNT BLVD
DOWNEY, CA 90242
Los Angeles County (562) 923-6060

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 Ji Shin's NPI number?

The NPI number for Ji Shin is 1245960772. It was assigned to this individual provider in the NPPES registry on June 16, 2022.

Where is Ji Shin located?

Ji Shin practices at 11938 Paramount Blvd, Downey, CA 90242. The listed phone number is (562) 923-6060.

What is Ji Shin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ji Shin enrolled in Medicare?

Yes. Ji Shin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ji Shin was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.