SHINE MEDICAL OF CA PC
NPI 1942935473
Psychiatry & Neurology - Psychiatry in San Jose, CA
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shine Medical Of Ca Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
44Medicare enrollment records show 44 clinicians reassign Medicare billing to Shine Medical Of Ca PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 44Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Shine Medical Of Ca PC enrolled in Medicare?
Yes. Shine Medical Of Ca PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shine Medical Of Ca PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 44 clinicians in 5 Medicare specialties reassign their Medicare billing to Shine Medical Of Ca PC. 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. The largest specialties are Marriage and Family Therapist (19), Clinical Social Worker (16) and Nurse Practitioner (5). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Shine Medical Of Ca PC was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 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.
# Shine Medical Of Ca Pc · NPI 1942935473
Psychiatry organization in San Jose, California. Organization record, active in the CMS NPPES registry since July 19, 2022.
## Identity
- **NPI:** 1942935473 (Entity type: Organization)
- **Enumerated:** July 19, 2022
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Clare Frye, SVP OF OPERATIONS
## Practice location
- **Address:** 325 S 1ST ST STE 200, San Jose, CA 95113-2835
- **Phone:** (888) 380-2028
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 44 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Marriage and Family Therapist (19), Clinical Social Worker (16), Nurse Practitioner (5); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1942935473/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1942935473) · Data from the CMS NPPES public registry.