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

Individual provider Family Medicine Physician · NPI 1184915407

Dr. Shayne Poulin, MD is a Family Medicine Physician in San Bernardino, California. Licensed in California and Massachusetts. Registered with an NPI since 2011.

Licensed in
CA, MA
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1873 Commercenter W
San Bernardino, CA 92408-3303
Phone: (909) 890-5511
Fax: (866) 886-7824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 146174 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 260709 (MA)

Record details

NPI number1184915407
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2011
Last updated in NPPESMay 12, 2017

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