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

Susie Shin, MD

Individual provider Pediatrics Physician · NPI 1407505167

Susie Shin, MD is a Pediatric Medicine in Orange, California. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2022, 4 years ago. Works from 2 locations. Licensed in California.

Years since qualifying
4
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
CA
In the registry since
2022
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

505 S Main St Ste 525
Orange, CA 92868-4553
Phone: (714) 456-5631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4968 Booth Cir Ste 106, Irvine, CA 92604-3370 — (949) 387-4900

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A188250 (CA)

Record details

NPI number1407505167
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2022
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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