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

Seo Young Shin, NP-C

Individual provider Family Nurse Practitioner · NPI 1396440699

Seo Young Shin, NP-C is a Nurse Practitioner in Riverside, California. Qualified in 2020, 6 years ago. Practices with Riverside Medical Clinic Inc, a 174-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2023
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

7117 Brockton Ave
Riverside, CA 92506-2658
Phone: (951) 321-6539
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1950 S Sunwest Ln Ste 108, San Bernardino, CA 92408-3263 — (909) 521-8818

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95019803 (CA)

Record details

NPI number1396440699
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedApril 4, 2023
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Riverside Medical Clinic Inc — 174 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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