Kimberley I Shine M D Inc
NPI 1376997221ActiveOrganization· Family Medicine· Pasadena, CA
Family Medicine in Pasadena, California, registered in NPPES in April 2016. The authorized official on file is Kimberley I. Shine, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1376997221 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 18, 2016 |
| Last updated in NPPES | Jul 15, 2024 |
| Certified by provider | Jul 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | A76961 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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