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

Johnathan Shih, MD

Individual provider Plastic Surgery Physician · NPI 1841796646

Johnathan Shih, MD is a Plastic and Reconstructive Surgery in Oakland, California. Graduated from State University of New York at Stony Brook, School of Medicine in 2018, 8 years ago. Practices with Golden State Dermatology Associates, Inc, a 119-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
CA
In the registry since
2018
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

3801 Howe St
Oakland, CA 94611-5312
Phone: (510) 616-8472
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 901 Nevin Ave, Richmond, CA 94801-3143 — (510) 307-1500

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence A196431 (CA)

Record details

NPI number1841796646
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2018
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024
Mailing address649 Via Rialto, Oakland, CA 94619-3149

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Golden State Dermatology Associates, Inc. — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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