Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shine Medical of Ca PC

Organization Psychiatry Physician · NPI 1942935473

Shine Medical of Ca PC is a Psychiatry Physician in San Jose, California. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

325 S 1st St Ste 200
San Jose, CA 95113-2835
Phone: (888) 380-2028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1942935473
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clare Frye — Svp Of Operations · (616) 648-1196
NPI enumeratedJuly 19, 2022
Last updated in NPPESDecember 8, 2024
Certification dateDecember 8, 2024
Mailing addressPo Box 360721, Pittsburgh, PA 15251-6721

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