PETER B. SHIN,M.D.,INC
NPI 1740595396
Clinic/Center - Primary Care in Torrance, CA
About Peter B. Shin,m.d.,inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETER B. SHIN,M.D.,INC (NPI 1740595396) is a healthcare organization registered as a primary care in Torrance, California and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through May 15, 2028 and lists Peter B Shin, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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)
Peter B. Shin,m.d.,inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
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 Peter B. Shin,m.D.,inc, 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.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D0711802
Peter B Shin MD Inc · Torrance, CAFrequently 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 Peter B. Shin,m.D.,inc's NPI number?
The NPI number for Peter B. Shin,m.D.,inc is 1740595396. It was assigned to this organization in the NPPES registry on August 6, 2010.
Where is Peter B. Shin,m.D.,inc located?
Peter B. Shin,m.D.,inc is located at 3440 Lomita Blvd 427, Torrance, CA 90505. The listed phone number is (310) 326-2161.
What is Peter B. Shin,m.D.,inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Peter B. Shin,m.D.,inc enrolled in Medicare?
Yes. Peter B. Shin,m.D.,inc is registered in the Medicare PECOS enrollment system.
When is Peter B. Shin,m.D.,inc'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 January 31, 2027. 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 Peter B. Shin,m.D.,inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Peter B. Shin,m.D.,inc. 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.
Does Peter B. Shin,m.D.,inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0711802) is associated with this NPI, valid through May 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Peter B. Shin,m.D.,inc was last updated on August 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Peter B. Shin,m.d.,inc · NPI 1740595396
Primary Care organization in Torrance, California. Organization record, active in the CMS NPPES registry since August 6, 2010.
## Identity
- **NPI:** 1740595396 (Entity type: Organization)
- **Enumerated:** August 6, 2010
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Peter Shin, CEO
## Practice location
- **Address:** 3440 LOMITA BLVD, 427, Torrance, CA 90505-4801
- **Phone:** (310) 326-2161 · **Fax:** (310) 534-5026
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 6, 2010
- **Other identifiers:** Medicare UPIN E47638 (CA); Medicare NSC 3901800001; Medicaid 00A462710 (CA); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740595396) · Data from the CMS NPPES public registry.