Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Shane Wallin

Q: What is the NPI number for Shane Wallin?

The National Provider Identifier (NPI) for Shane Wallin is 1104282177, a Type 1 (individual) record in the CMS NPPES registry.

Medical Art Specialist/Technologist in San Diego, CA · enumerated 2016 · practices at Garnet Tattoo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104282177

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Registry record

Entity type Individual (Type 1)

Name Shane Wallin

Sex Male

Practice address San Diego, CA, 92109

Phone (612) 214-1325

Enumeration date Jan 6, 2016

Last updated in NPPES Jul 3, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

246ZA2600X Medical Art Specialist/Technologist Technologists, Technicians & Other Technical Service Providers · License 310143 (MN) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Shane Wallin practice?

The practice location on file with NPPES is in San Diego, CA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Shane Wallin?

The National Provider Identifier (NPI) for Shane Wallin is 1104282177, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Garnet Tattoo Medical Art Specialist/Technologist · San Diego, CA NPI 1194181602

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-03.