KENNETH K SHIMOZAKI DPM
NPI 1053429027
Podiatrist in Stockton, CA

Q: What is Kenneth Shimozaki's NPI number?

The NPI number for Kenneth Shimozaki is 1053429027. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is Kenneth Shimozaki's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Shimozaki was last updated on November 19, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment

75.31/100

CMS Quality Rating

3031 W MARCH LN, SUITE 310, STOCKTON, CA 95219(209) 472-0800(209) 472-1203 Get Directions Write a Review

NPPES record last updated: November 19, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Kenneth K Shimozaki Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH K SHIMOZAKI DPM (NPI 1053429027) is an individual podiatrist in Stockton, California, licensed in California (E3847) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (1991).

NPPES Registry Identity

NPI1053429027

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameKENNETH K SHIMOZAKICredential: DPM

Location Address3031 W MARCH LN, SUITE 310Stockton, CA 95219-6500

Mailing Address3031 W March Ln, Suite 310Stockton, CA 95219-6500 · (209) 472-0800 · Fax (209) 472-1203

Phone(209) 472-0800

Fax(209) 472-1203

Sole ProprietorNo

Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1991

Enumeration DateAugust 29, 2006

Last NPPES UpdateNovember 19, 2007

✔ NPI 1053429027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in CA · E3847

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

3031 W MARCH LN, Stockton, CA 95219

Open in Google Maps ↗

Other Identifiers 6

Medicare NSC4800910001CA

Medicare ID-Type UnspecifiedZZZ25747ZCA · Group Medicare #

OtherE3847CA · State License #

Other611435771CA · Ein

MedicaidGRE001670CA

Medicare UPINU36947CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth K Shimozaki Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416056205

PECOS Enrollment IDI20070619000684

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

344 services133 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

291 services111 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

271 services122 patients

Trimming of dystrophic nails, any number G0127

Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.

256 services100 patients

Therapy procedure using ultrasound 97610

Ultrasound therapy is a treatment used to heal and relieve pain. It involves using sound waves to stimulate body tissues, promoting healing and reducing inflammation. It's non-invasive, painless, and typically used for muscle, ligament injuries, or chronic pain.

157 services31 patients

Application of vein wound compression bandages on lower leg, ankle, and foot 29581

Compression bandages are applied to your lower leg, ankle, and foot to promote healing of vein wounds. The bandages apply pressure to improve blood flow, reduce swelling, and accelerate wound healing. It's a safe, non-invasive treatment.

98 services24 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

95 services44 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

57 services41 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

53 services21 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

44 services19 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

26 services23 patients

Removal of noncancer thickened skin growth, more than 4 growths 11057

This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.

24 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

21 services21 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

14 services11 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

55.56

Promoting Interoperability

Improvement Activities

Cost

47.66

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

2 suppliers13 claims309 services$7.16 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402

DME-Medical/Surgical Supplies · category DA023N

3 suppliers22 claims2,484 services$0.11 avg. paid by Medicare

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446

DME-Medical/Surgical Supplies · category DA023N

3 suppliers20 claims2,752 services$0.35 avg. paid by Medicare

Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard A6454

DME-Medical/Surgical Supplies · category DA023N

3 suppliers14 claims1,280 services$0.76 avg. paid by Medicare

Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each A6545

DME-Medical/Surgical Supplies · category DA000N

3 suppliers15 claims21 services$82.59 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSA SANDOVAL M.S., CCC-SLP

Speech-Language Pathologist

3031 W MARCH LN, SUITE 217 WEST
STOCKTON, CA 95219

San Joaquin County (209) 952-2588

DR. NICK E SMITH D.D.S.

Dentist (General Practice)

3031 W MARCH LN, SUITE 318E
STOCKTON, CA 95219

San Joaquin County (209) 952-8804

KAYLA MARIE LANEY SLPA

Specialist/Technologist (Speech-Language Assistant)

3031 W MARCH LN, SUITE 117
STOCKTON, CA 95219

San Joaquin County (209) 952-2588

MICAH FIDLER

Technician/Technologist

3031 W MARCH LN
STOCKTON, CA 95219

San Joaquin County (541) 292-7674

MARK T CHAO DDS INC

Dentist (General Practice)

3031 W MARCH LN, SUITE #340
STOCKTON, CA 95219

San Joaquin County (209) 952-8000

ROLAND HART MD INC

Dermatology

3031 W MARCH LN, SUITE 336E
STOCKTON, CA 95219

San Joaquin County (209) 957-3821

MR. MICHAEL N SCATENA DPM

Podiatrist

3031 W MARCH LN, #203
STOCKTON, CA 95219

San Joaquin County (209) 956-2847

WAMBUI WAINAINA LCSW

Social Worker

3031 W MARCH LN, STE 216W
STOCKTON, CA 95219

San Joaquin County (209) 988-2645

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Shimozaki's NPI number?

The NPI number for Kenneth Shimozaki is 1053429027. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Kenneth Shimozaki located?

Kenneth Shimozaki practices at 3031 W March Ln Suite 310, Stockton, CA 95219. The listed phone number is (209) 472-0800.

What is Kenneth Shimozaki's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Kenneth Shimozaki enrolled in Medicare?

Yes. Kenneth Shimozaki is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kenneth Shimozaki was last updated on November 19, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.