ELLEN SHIN
NPI 1588123798
Family Medicine in Rancho Cucamonga, CA

Q: What is Ellen Shin's NPI number?

The NPI number for Ellen Shin is 1588123798. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Q: What is Ellen Shin'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 Ellen Shin was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 18, 2019

10750 4TH ST BLDG 1, RANCHO CUCAMONGA, CA 91730(909) 481-1332 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 5, 2023, Mar 18, 2019 (2 updates tracked since 2019).

On this page

About Ellen Shin NPPES

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

ELLEN SHIN (NPI 1588123798) is an individual family medicine provider in Rancho Cucamonga, California, licensed in California (A180492) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1588123798

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameELLEN SHIN

Location Address10750 4TH ST BLDG 1Rancho Cucamonga, CA 91730-0979

Mailing Address10750 4th St Bldg 1Rancho Cucamonga, CA 91730-0979 · (909) 481-1332

Phone(909) 481-1332

Sole ProprietorNo

Enumeration DateMarch 18, 2019

Last NPPES UpdateSeptember 5, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2023

✔ NPI 1588123798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A180492

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

10750 4TH ST BLDG 1, Rancho Cucamonga, CA 91730

Open in Google Maps ↗

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 Ellen Shin's NPI number?

The NPI number for Ellen Shin is 1588123798. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Ellen Shin located?

Ellen Shin practices at 10750 4th St Bldg 1, Rancho Cucamonga, CA 91730. The listed phone number is (909) 481-1332.

What is Ellen Shin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Ellen Shin was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.