KEVIN SEUNG JOON SHIN
NPI 1669095741
Family Medicine in Ventura, CA
About Kevin Seung Joon Shin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN SEUNG JOON SHIN (NPI 1669095741) is an individual family medicine provider in Ventura, California, licensed in California (20A22149) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Samaritan Lebanon Community Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kevin Seung Joon Shin 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Samaritan Lebanon Community Hospital
Critical Access Hospitals · Lebanon, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VENTURA, CA 93003
VENTURA, CA 93003
VENTURA, CA 93003
VENTURA, CA 93003
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 Kevin Shin's NPI number?
The NPI number for Kevin Shin is 1669095741. It was assigned to this individual provider in the NPPES registry on May 22, 2020.
Where is Kevin Shin located?
Kevin Shin practices at 300 Hillmont Ave Bldg 340, Ste 101 & 201, Ventura, CA 93003. The listed phone number is (805) 652-6100.
What is Kevin Shin's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kevin Shin enrolled in Medicare?
Yes. Kevin 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.
Is Kevin Shin affiliated with any hospitals?
According to CMS data, Kevin Shin is affiliated with Samaritan Lebanon Community Hospital.
When was this NPI record last updated?
The NPPES record for Kevin Shin was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
