TAE M SHIN, M.D. INC.
NPI 1922139757
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Los Angeles, CA

NPI Status: Active since March 07, 2007

Contact Information

4220 W 3RD ST
SUITE #208
LOS ANGELES, CA
ZIP 90020
Phone: (213) 386-3554
Fax: (805) 991-4065

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  • Organization
  • Orthopaedic Surgery
  • Orthopaedic Surgery of the Spine

About TAE M SHIN, M.D. INC.

This page provides the complete NPI Profile along with additional information for Tae M Shin, M.d. Inc., a provider established in Los Angeles, California operating as a Orthopaedic Surgery, focusing in orthopaedic surgery of the spine . The healthcare provider is registered in the NPI registry with number 1922139757 assigned on March 2007. The practitioner's primary taxonomy code is 207XS0117X with license number G85170 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Miss Rose Marie Rivera (Director Of Billing Operations)

NPI
1922139757
Provider Name
TAE M SHIN, M.D. INC.
Entity Type
Organization
Location Address
4220 W 3RD ST SUITE #208 LOS ANGELES, CA 90020
Location Phone
(213) 386-3554
Location Fax
(805) 991-4065
Mailing Address
PO BOX 65 SIMI VALLEY, CA 93062
Mailing Phone
(805) 577-8730
Mailing Fax
(805) 991-4065
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-07-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery Orthopaedic Surgery of the Spine

Taxonomy Code
207XS0117X
Type
Allopathic & Osteopathic Physicians
License No.
G85170
License State
CA
Taxonomy Description
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MISS ROSE MARIE RIVERA

Authorized Official Title
DIRECTOR OF BILLING OPERATIONS
Authorized Official Phone
(805) 577-8730

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00G851700MEDICAID (05)CA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1922139757, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
2
Doubled → 4
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 4 + 2 + 2 + 3 + 1 + 8 + 7 + 1 + 0 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1922139757.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
4220 W 3RD ST, #102
LOS ANGELES, CA 90020
Ophthalmology
4220 W 3RD ST, SUITE 206
LOS ANGELES, CA 90020
Pediatrics
4220 W 3RD ST, #205
LOS ANGELES, CA 90020
Dentist (General Practice)
4220 W 3RD ST, SUITE #101
LOS ANGELES, CA 90020
Dentist (General Practice)
4220 W 3RD ST, SUITE 101
LOS ANGELES, CA 90020
Dentist
4220 W 3RD ST, STE 202
LOS ANGELES, CA 90020
Plastic Surgery
4220 W 3RD ST, SUITE 102
LOS ANGELES, CA 90020
Plastic Surgery
4220 W 3RD ST, SUITE 102
LOS ANGELES, CA 90020
Clinic/Center (Ambulatory Surgical)
4220 W 3RD ST, SUITE 102
LOS ANGELES, CA 90020
Ophthalmology
4220 W 3RD ST, SUITE 206
LOS ANGELES, CA 90020
Clinic/Center (Ambulatory Surgical)
4220 W 3RD ST, SUITE 114
LOS ANGELES, CA 90020
Plastic Surgery
4220 W 3RD ST, SUITE 210
LOS ANGELES, CA 90020
Ophthalmology (Retina Specialist)
4220 W 3RD ST, SUITE 206
LOS ANGELES, CA 90020
Anesthesiology
4220 W 3RD ST, STE 102
LOS ANGELES, CA 90020
Ophthalmology
4220 W 3RD ST, SUITE 206
LOS ANGELES, CA 90020
Dentist
4220 W 3RD ST, STE 202
LOS ANGELES, CA 90020
Pharmacist
4220 W 3RD ST, SUITE 100
LOS ANGELES, CA 90020
Pharmacy (Community/Retail Pharmacy)
4220 W 3RD ST, STE 100
LOS ANGELES, CA 90020
Optometrist
4220 W 3RD ST, SUITE 206
LOS ANGELES, CA 90020
Dentist
4220 W 3RD ST
LOS ANGELES, CA 90020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922139757, enumerated as an "organization" on March 07, 2007.

The provider is located at 4220 W 3RD ST SUITE #208 LOS ANGELES, CA 90020 and the phone number is (213) 386-3554.

Orthopaedic Surgery with taxonomy code 207XS0117X and a focus in Orthopaedic Surgery of the Spine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.