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 North Lincoln Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
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.
Medicare Billing Reassignments
7Medicare enrollment records show Kevin Shin reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ventura, CA 93003
- Reassigned Medicare billing, California enrollment
- 710 clinicians in this Medicare group
Oxnard, CA 93036
- Reassigned Medicare billing, California enrollment
- 216 clinicians in this Medicare group
Oxnard, CA 93036
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Modesto, CA 95354
- Reassigned Medicare billing, California enrollment
- 180 clinicians in this Medicare group
Modesto, CA 95355
- Reassigned Medicare billing, California enrollment
- 3,056 clinicians in this Medicare group
Sweet Home, OR 97386
- Reassigned Medicare billing, Oregon enrollment
- 416 clinicians in this Medicare group
Lincoln City, OR 97367
- Reassigned Medicare billing, Oregon enrollment
- Also billed through NPI 1679927636 (Oregon)
- 277 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Samaritan North Lincoln Hospital
Critical Access Hospitals · Lincoln City, ORSamaritan 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
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.
Which organizations bill Medicare for Kevin Shin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Shin reassigns Medicare benefits to 7 organizations: County Of Ventura (Ventura, CA), Clinicas Del Camino Real Inc (Oxnard, CA), Southern California Permanente Medical Group (Oxnard, CA), American Specialty Physicians Group Inc (Modesto, CA), Sutter Valley Medical Foundation (Modesto, CA) and 2 more organizations, listed in the Medicare section above. 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 Kevin Shin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kevin Shin affiliated with any hospitals?
According to CMS data, Kevin Shin is affiliated with Samaritan North Lincoln Hospital and 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 9 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.
# Kevin Seung Joon Shin · NPI 1669095741
Family Medicine physician in Ventura, California. Individual provider, active in the CMS NPPES registry since May 22, 2020.
## Identity
- **NPI:** 1669095741 (Entity type: Individual)
- **Enumerated:** May 22, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A22149 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 HILLMONT AVE, BLDG 340, STE 101 & 201, Ventura, CA 93003-1651
- **Phone:** (805) 652-6100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): County Of Ventura (NPI 1619118569, Ventura, CA); Clinicas Del Camino Real Inc (NPI 1093933194, Oxnard, CA); Southern California Permanente Medical Group (NPI 1275756652, Oxnard, CA); American Specialty Physicians Group Inc (NPI 1164363024, Modesto, CA); Sutter Valley Medical Foundation (NPI 1669846986, Modesto, CA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Col Of Osteo Med Of The Pacific At Lebanon, class of 2020
## Record status
- **NPPES last updated:** January 22, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1669095741) · Data from the CMS NPPES public registry.