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

Mr. Brian Jisu Shin, PHYSICIANASSISTANT

Individual provider Emergency Medicine Physician · NPI 1144860404

Mr. Brian Jisu Shin, PHYSICIANASSISTANT is a Physician Assistant in Riverside, California. Qualified in 2020, 6 years ago. Practices with St Jude Emergency Medical Group Inc, a 20-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
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Practice location Address checks out

8293 Perla Dr
Riverside, CA 92504-2419
Phone: (951) 214-0212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 58316 (CA)

Record details

NPI number1144860404
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedJanuary 14, 2020
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice St Jude Emergency Medical Group Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Riverside