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BORA SHIN MD
NPI 1912312117
Pediatrics in Buena Park, CA

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: October 18, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Bora Shin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marque Medical Clinic, Inc.
18 mi
Urgent Care
2075 SAN JOAQUIN HILLS RD
Newport Beach, CA 92660
  • Reassigned Medicare billing, California enrollment
  • 32 clinicians in this Medicare group
NPI 1538466107 (949) 760-9222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
7212 ORANGETHORPE AVE STE 9A
BUENA PARK, CA 90621
Orange County (714) 503-6550
RANA CHOI NP
Nurse Practitioner (Family)
7212 ORANGETHORPE AVE STE 9A
BUENA PARK, CA 90621
Orange County (714) 503-6550
TONY JUNGWOO PARK
Nurse Practitioner (Psychiatric/Mental Health)
7212 ORANGETHORPE AVE STE 9A
BUENA PARK, CA 90621
Orange County (714) 503-6550
MARIEGRACE MERO R.N.
Registered Nurse
7212 ORANGETHORPE AVE STE 9A
BUENA PARK, CA 90621
Orange County (714) 562-8729
KCS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
7212 ORANGETHORPE AVE STE 9A
BUENA PARK, CA 90621
Orange County (714) 503-6550
NICHOLE AMBER QUICK M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
7212 ORANGETHORPE AVE STE 9A
BUENA PARK, CA 90621
Orange County (714) 527-6551
EUNA LIM PARK
Social Worker (Clinical)
7212 ORANGETHORPE AVE STE 9A
BUENA PARK, CA 90621
Orange County (714) 503-6550
KCS, INC.
Community/Behavioral Health
7212 ORANGETHORPE AVE STE 9A
BUENA PARK, CA 90621
Orange County (714) 503-6550

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 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.

Where is Bora Shin located?

Bora Shin practices at 7212 Orangethorpe Ave Ste 9A, Buena Park, CA 90621. The listed phone number is (714) 503-6550.

What is Bora Shin's specialty?

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

Is Bora Shin enrolled in Medicare?

Yes. Bora Shin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bora Shin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bora Shin reassigns Medicare benefits to Marque Medical Clinic, Inc. (Newport Beach, CA). The 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 Bora Shin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 2 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.