Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Shine Medical of Ca PC

Organization Psychiatry Physician · NPI 1942935473

Shine Medical of Ca PC provides Psychiatry Physician services in San Jose, California. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

325 S 1st St Ste 200
San Jose, CA 95113-2835
Phone: (888) 380-2028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1942935473
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clare Frye — Svp Of Operations · (616) 648-1196
NPI enumeratedJuly 19, 2022
Last updated in NPPESSeptember 15, 2026
Certification dateSeptember 15, 2026
Mailing addressPo Box 52475, Phoenix, AZ 85072-2475

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