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

Desiree Shin, MSN, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1457038945

Desiree Shin, MSN, AGACNP-BC is a Nurse Practitioner in Los Angeles, California. Qualified in 2020, 6 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2023
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

200 UCLA Medical Plz Ste 365B
Los Angeles, CA 90095-8344
Phone: (310) 825-8061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95016669 (CA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 95016669 (CA)

Record details

NPI number1457038945
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , AGACNP-BC
Sole proprietorNo
NPI enumeratedJune 28, 2023
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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