Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BORA SHIN MD
NPI 1912312117
Pediatrics in Buena Park, CA

Q: What is Bora Shin's NPI number?

The NPI number for Bora Shin is 1912312117. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Q: What is Bora Shin's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Bora Shin was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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 June 25, 2014PECOS Enrolled

7212 ORANGETHORPE AVE STE 9A, BUENA PARK, CA 90621(714) 503-6550 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2026, Oct 7, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Bora Shin Md NPPES

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

BORA SHIN MD (NPI 1912312117) is an individual pediatrics provider in Buena Park, California, licensed in California (A147055) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912312117

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameBORA SHINCredential: MD

Location Address7212 ORANGETHORPE AVE STE 9ABuena Park, CA 90621-4668

Mailing Address7212 Orangethorpe Ave Ste 9aBuena Park, CA 90621-4668 · (714) 503-6550 · Fax (714) 409-3075

Phone(714) 503-6550

Sole ProprietorNo

Enumeration DateJune 25, 2014

Last NPPES UpdateAugust 5, 20264 updates tracked since enumeration

NPPES CertifiedAugust 5, 2026

✔ NPI 1912312117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in CA · A147055✔ Licensed in GA · 7009

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

7212 ORANGETHORPE AVE STE 9A, Buena Park, CA 90621

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bora Shin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90621 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

CAITLYN JEEIN PARK

Nurse Practitioner (Family)