JASON H. SHIN, MD, INC., A PROFESSIONAL MEDICAL CORPORATION
NPI 1275897878
Clinic/Center in Pomona, CA
About Jason H. Shin, Md, Inc., A Professional Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON H. SHIN, MD, INC., A PROFESSIONAL MEDICAL CORPORATION (NPI 1275897878) is a healthcare organization registered as a clinic/center in Pomona, California and active in the NPI registry since June 2012. The organization lists Jason H Shin, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jason H. Shin, Md, Inc., A Professional Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jason H. Shin, MD, Inc., A Professional Medical Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jason H. Shin, MD, Inc., A Professional Medical Corporation's NPI number?
The NPI number for Jason H. Shin, MD, Inc., A Professional Medical Corporation is 1275897878. It was assigned to this organization in the NPPES registry on June 28, 2012.
Where is Jason H. Shin, MD, Inc., A Professional Medical Corporation located?
Jason H. Shin, MD, Inc., A Professional Medical Corporation is located at 250 W Bonita Ave Suite 250, Pomona, CA 91767. The listed phone number is (909) 593-2031.
What is Jason H. Shin, MD, Inc., A Professional Medical Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Jason H. Shin, MD, Inc., A Professional Medical Corporation enrolled in Medicare?
Yes. Jason H. Shin, MD, Inc., A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.
When is Jason H. Shin, MD, Inc., A Professional Medical Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jason H. Shin, MD, Inc., A Professional Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Jason H. Shin, MD, Inc., A Professional Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jason H. Shin, MD, Inc., A Professional Medical Corporation was last updated on March 20, 2020. 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.
# Jason H. Shin, Md, Inc., A Professional Medical Corporation · NPI 1275897878
Clinic/Center organization in Pomona, California. Organization record, active in the CMS NPPES registry since June 28, 2012.
## Identity
- **NPI:** 1275897878 (Entity type: Organization)
- **Enumerated:** June 28, 2012
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Jason Shin, PRESIDENT
## Practice location
- **Address:** 250 W BONITA AVE, SUITE 250, Pomona, CA 91767-1863
- **Phone:** (909) 593-2031 · **Fax:** (909) 593-2032
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Gastroenterology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 20, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1275897878) · Data from the CMS NPPES public registry.