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

Kevin Seung Joon Shin

Individual provider Family Medicine Physician · NPI 1669095741

Kevin Seung Joon Shin is a Family Practice in Ventura, California. Graduated from Col of Osteo Med of the Pacific at Lebanon in 2020, 6 years ago. Practices with County of Ventura, a 274-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
6
Trained at
Col of Osteo Med of the Pacific at Lebanon
Licensed in
CA, OR
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

300 Hillmont Ave Bldg 340 Ste 101 & 201
Ventura, CA 93003-1651
Phone: (805) 652-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 801 Cooper Rd, Oxnard, CA 93030-5445 — (805) 330-8100
  • 525 N Santiam Hwy, Lebanon, OR 97355-4363 — (541) 258-2101

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A22149 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence D0227314 (OR)

Record details

NPI number1669095741
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 22, 2020
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolCOL OF OSTEO MED OF THE PACIFIC AT LEBANON
Graduated 2020 (6 years in practice)
Group practice County Of Ventura — 274 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Ventura