Shane Wallin
NPI 1104282177 · Medical Art Specialist/Technologist · San Diego, CA
Shane Wallin is a Medical Art Specialist/Technologist provider in San Diego, CA (NPI 1104282177).
Provider details
- NPI number
- 1104282177
- Entity type
- Individual
- Primary specialty
- Medical Art Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 310143 (MN)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 3073 Jefferson StNapa, CA 94558-4921Phone: (619) 942-9737
- 4933 34th Ave SMinneapolis, MN 55417-1503Phone: (619) 942-9737
Registry dates
- Enumerated
- 2016-01-06
- Last updated
- 2025-07-03
- Certified
- 2025-07-03
Frequently asked questions
- What is Shane Wallin's NPI number?
- Shane Wallin's National Provider Identifier (NPI) is 1104282177, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Wallin's specialty?
- Shane Wallin is listed in the NPPES registry with a primary specialty of Medical Art Specialist/Technologist (Technologists, Technicians & Other Technical Service Providers).
- Where is Shane Wallin located?
- Shane Wallin's practice location on file with NPPES is 1968 Garnet Ave, San Diego, CA 92109-3555.
- What is Shane Wallin's phone number?
- The practice phone number listed in the NPPES registry for Shane Wallin is (612) 214-1325.
- Is Shane Wallin's NPI active?
- Yes — Shane Wallin's NPI (1104282177) is active in the NPPES registry as of the last update on 2025-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.