HA YEON SHIN MD
NPI 1497216360
Allergy & Immunology in San Diego, CA

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment
9833 PACIFIC HEIGHTS BLVD STE J, SAN DIEGO, CA 92121(858) 458-0940(858) 458-3688 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ha Yeon Shin Md NPPES

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

HA YEON SHIN MD (NPI 1497216360) is an individual allergy & immunology provider in San Diego, California, licensed in California (A185748) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497216360
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameHA YEON SHINCredential: MD
Location Address9833 PACIFIC HEIGHTS BLVD STE JSan Diego, CA 92121-4707
Mailing Address9850 Genesee Ave Ste 710La Jolla, CA 92037-1218 · (858) 260-2977 · Fax (858) 260-2978
Fax(858) 458-3688
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1497216360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in CA · A185748
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedInternal MedicineTaxonomy 207R00000X · License A185748 (CA)
Also ListedPediatricsTaxonomy 208000000X · License A185748 (CA)
9833 PACIFIC HEIGHTS BLVD STE J, San Diego, CA 92121

Secondary Practice Locations 2

Location 19850 Genesee Ave Ste 710LA Jolla, CA 92037-1218 · Phone (858) 260-2977
Location 2230 Prospect Pl Ste 220Coronado, CA 92118-1978 · Phone (858) 458-0940 · Fax (858) 458-3688

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ha Yeon Shin Md 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 ID7214433937
PECOS Enrollment IDI20251001004009
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ha Shin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allergy & Immunology
9850 GENESEE AVE STE 710
La Jolla, CA 92037
  • Reassigned Medicare billing, California enrollment
  • 18 clinicians in this Medicare group
Allergy & Immunology
2067 W VISTA WAY STE 140
Vista, CA 92083
  • Reassigned Medicare billing, California enrollment
  • 8 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Allergy & Immunology
9833 PACIFIC HEIGHTS BLVD STE J
SAN DIEGO, CA 92121

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 Ha Shin's NPI number?

The NPI number for Ha Shin is 1497216360. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Ha Shin located?

Ha Shin practices at 9833 Pacific Heights Blvd Ste J, San Diego, CA 92121. The listed phone number is (858) 458-0940.

What is Ha Shin's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Ha Shin enrolled in Medicare?

Yes. Ha Shin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ha Shin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ha Shin reassigns Medicare benefits to 2 organizations: Modena Allergy & Asthma Inc. (La Jolla, CA) and Modena Allergy & Asthma II Inc. (Vista, CA). Each 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 Ha Shin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ha Shin was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.