ROD SHINOZAKI M.D.
NPI 1063828093
Pediatrics - Pediatric Critical Care Medicine in Loma Linda, CA

Q: What is Rod Shinozaki's NPI number?

The NPI number for Rod Shinozaki is 1063828093. It was assigned to this individual provider in the NPPES registry on July 10, 2014.

Q: What is Rod Shinozaki's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Rod Shinozaki was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 10, 2014PECOS Enrolled

11234 ANDERSON ST, LOMA LINDA, CA 92354(909) 558-4250 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 18, 2022, Jul 2, 2020 (2 updates tracked since 2020).

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About Rod Shinozaki M.d. NPPES

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

ROD SHINOZAKI M.D. (NPI 1063828093) is an individual pediatric critical care medicine provider in Loma Linda, California, licensed in California (A146725) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063828093

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameROD SHINOZAKICredential: M.D.

Location Address11234 ANDERSON STLoma Linda, CA 92354-2804

Mailing Address11234 Anderson StLoma Linda, CA 92354-2804 · (909) 558-4250

Phone(909) 558-4250

Sole ProprietorNo

Enumeration DateJuly 10, 2014

Last NPPES UpdateOctober 22, 20242 updates tracked since enumeration

NPPES CertifiedOctober 22, 2024

✔ NPI 1063828093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in CA · A146725

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 2020019651 (MO), A146725 (CA)

Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License A146725 (CA)

11234 ANDERSON ST, Loma Linda, CA 92354

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rod Shinozaki M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Rod Shinozaki reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Physicians And Surgeons Of Llusm

Same address

Anatomic Pathology & Clinical Pathology

11234 ANDERSON ST
Loma Linda, CA 92354

Reassigned Medicare billing, California enrollment
2,584 clinicians in this Medicare group

NPI 1245605781 (909) 558-6122

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ELYSE LAUREN GURAN

Anesthesiology

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4015

SAMUEL COOK CHAMBI

Anesthesiology

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4015

LUIS MIGUEL OLMEDO TEMICH MD

General Practice

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-2822

HYUKJE SUNG MD, MA

Preventive Medicine (Occupational Medicine)

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-6491

JEFFERSON BRANCH RICHARDS

Student in an Organized Health Care Education/Training Program

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4074

JOSEPH UNIS M.D.

Radiology (Diagnostic Radiology)

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-8311

MARINA LIU M.D.

Anesthesiology

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4475

JOSEPH M WILKINSON CRNA

Nurse Anesthetist, Certified Registered

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4475

KURT DIETER CAO C.R.N.A.

Nurse Anesthetist, Certified Registered

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-8173

DR. FRANK RANDALL M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

11234 ANDERSON ST, HOUSE STAFF OFFICE CP21005
LOMA LINDA, CA 92354

San Bernardino County (818) 635-7623

VU NGUYEN M.D.

Anesthesiology

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4000

BLAIR H. RACKER D.D.S.

Student in an Organized Health Care Education/Training Program

11234 ANDERSON ST, LLU MEDICAL CENTER: ORAL AND MAXILLOFACIAL SURGERY
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4671

DR. MOOSA AZADIAN M.D.

Internal Medicine (Critical Care Medicine)

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4085

DR. SALLY YOU DO

Psychiatry & Neurology (Neurocritical Care)

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (714) 797-7740

ALICIA DELLEN CRNA, RN

Nurse Anesthetist, Certified Registered

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4000

EMELYN MAGTANONG

Student in an Organized Health Care Education/Training Program

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-2822

JONATHAN BLEASE HILL MD

Student in an Organized Health Care Education/Training Program

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4196

KARI DIANE KENNEDY MD

Student in an Organized Health Care Education/Training Program

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-2600

DR. JOSEPH DAVID HUTTON MD

Student in an Organized Health Care Education/Training Program

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-6444

ASHNA KHANNA DO

Pediatrics

11234 ANDERSON ST, GME OFFICE WESTERLY SUITE C
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4174

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 Rod Shinozaki's NPI number?

The NPI number for Rod Shinozaki is 1063828093. It was assigned to this individual provider in the NPPES registry on July 10, 2014.

Where is Rod Shinozaki located?

Rod Shinozaki practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-4250.

What is Rod Shinozaki's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Rod Shinozaki enrolled in Medicare?

Yes. Rod Shinozaki is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rod Shinozaki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rod Shinozaki reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rod Shinozaki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rod Shinozaki was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.