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

Joon Soo Shin, MD

Individual provider Neuroradiology Physician · NPI 1750812400

Joon Soo Shin, MD is a Diagnostic Radiology in Stanford, California. Graduated from R Franklin University of Med & SCI/Chicago Medical School in 2017, 9 years ago. Practices with Newport Harbor Radiology Associates Medical Group Inc, a 70-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
9
Trained at
R Franklin University of Med & SCI/Chicago Medical School
Licensed in
CA, IL
In the registry since
2017
Specialties on file
3
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

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1775 Ballard Rd, Park Ridge, IL 60068-1005 — (847) 318-9340

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A186398 (CA)
Neuroradiology Physician Taxonomy 2085N0700X · Licence A186398 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125.071122 (IL)

Record details

NPI number1750812400
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2017
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024
Mailing address300 Pasteur Dr, Stanford, CA 94305-2200

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolR FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated 2017 (9 years in practice)
Group practice Newport Harbor Radiology Associates Medical Group Inc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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