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

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: July 26, 2026.

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

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
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

Medicare Participation & PECOS CMS

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

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.

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.

Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354

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.

When was this NPI record last updated?

The NPPES record for Rod Shinozaki was last updated on October 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.