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SHINE MEDICAL OF CA PC
NPI 1942935473
Psychiatry & Neurology - Psychiatry in San Jose, CA

Active since July 19, 2022
325 S 1ST ST STE 200, SAN JOSE, CA 95113(888) 380-2028 Get Directions Write a Review

NPPES record last updated: December 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2024, Oct 4, 2024, Jan 18, 2023 and 2 more (5 updates tracked since 2022).

About Shine Medical Of Ca Pc NPPES

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

SHINE MEDICAL OF CA PC (NPI 1942935473) is a healthcare organization registered as a psychiatry in San Jose, California and active in the NPI registry since July 2022. The organization lists Clare Frances Boals Frye, Svp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1942935473
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSHINE MEDICAL OF CA PC
Location Address325 S 1ST ST STE 200San Jose, CA 95113-2835
Mailing AddressPo Box 360721Pittsburgh, PA 15251-6721
Phone(888) 380-2028
Organization SubpartNo
Authorized OfficialClare Frances Boals FryeSvp Of Operations · (616) 648-1196
Enumeration DateJuly 19, 2022
Last NPPES UpdateDecember 8, 20245 updates tracked since enumeration
NPPES CertifiedDecember 8, 2024
✔ NPI 1942935473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
325 S 1ST ST STE 200, San Jose, CA 95113
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

FORESIGHT HEALTH MEDICAL WEST PC
Internal Medicine
325 S 1ST ST STE 200
SAN JOSE, CA 95113
Santa Clara County (510) 880-3084
TURNOUT MEDICAL GROUP WEST PC
Case Manager/Care Coordinator
325 S 1ST ST STE 200
SAN JOSE, CA 95113
Santa Clara County (800) 499-8876
CRESTLINE MEDICAL GROUP PC
Psychiatry & Neurology (Psychiatry)
325 S 1ST ST STE 200
SAN JOSE, CA 95113
Santa Clara County (415) 839-7564

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 Shine Medical Of Ca PC's NPI number?

The NPI number for Shine Medical Of Ca PC is 1942935473. It was assigned to this organization in the NPPES registry on July 19, 2022.

Where is Shine Medical Of Ca PC located?

Shine Medical Of Ca PC is located at 325 S 1st St Ste 200, San Jose, CA 95113. The listed phone number is (888) 380-2028.

What is Shine Medical Of Ca PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Shine Medical Of Ca PC was last updated on December 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.