DR. KOZUE SHIMABUKURO M.D.
NPI 1134334600
Pediatrics - Pediatric Critical Care Medicine in Loma Linda, CA

NPI Status: Active since May 10, 2007

Contact Information

11175 CAMPUS ST
CP A1117
LOMA LINDA, CA
ZIP 92350
Phone: (909) 558-4250

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  • Individual
  • Female
  • Pediatrics
  • Pediatric Critical Care Medicine
  • Accepts Insurance
  • PECOS Enrolled

About KOZUE SHIMABUKURO

This page provides the complete NPI Profile along with additional information for Kozue Shimabukuro, a pediatrician established in Loma Linda, California with a medical specialization in Pediatrics, focusing in pediatric critical care medicine . The healthcare provider is registered in the NPI registry with number 1134334600 assigned on May 2007. The practitioner's primary taxonomy code is 2080P0203X with license number M-1938 (GU). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1134334600
Provider Name
DR. KOZUE SHIMABUKURO M.D.
Gender
Female
Entity Type
Individual
Location Address
11175 CAMPUS ST CP A1117 LOMA LINDA, CA 92350
Location Phone
(909) 558-4250
Mailing Address
11175 CAMPUS ST CP A1117 LOMA LINDA, CA 92350
Mailing Phone
(909) 558-4250
Is Sole Proprietor?
Yes
Enumeration Date
05-10-2007
Last Update Date
02-11-2022
Code Navigator

A pediatrician like Kozue Shimabukuro is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Critical Care Medicine

Taxonomy Code
2080P0203X
Type
Allopathic & Osteopathic Physicians
License No.
M-1938
License State
GU
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

A101076 (CA)
2208000000XAllopathic & Osteopathic Physicians

Pediatrics

M-1938 (GU)
32080P0203XAllopathic & Osteopathic Physicians

Pediatrics
Pediatric Critical Care Medicine

A101076 (CA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • KP HI Bronze 6000/65 Plus CAM - HMO
  • KP HI Gold 0/40 Plus CAM - HMO
  • KP HI Gold 1000 Ded/250 Rx Ded - HMO
  • KP HI Platinum 0/5 Plus CAM - HMO
  • KP HI Silver 3000 Ded/600 Rx Ded Plus CAM - HMO
  • KP HI Silver 4000 Ded/600 Rx Ded - HMO
  • KP HI Standard Bronze 7500/50 - HMO
  • KP HI Standard Gold 2000/30 - HMO
  • KP HI Standard Platinum 0/10 - HMO
  • KP HI Standard Silver 6000/40 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Kozue Shimabukuro is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. KOZUE SHIMABUKURO M.D.

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1134334600, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 3 → 6 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 6 + 3 + 8 + 6 + 0 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1134334600.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
11175 CAMPUS ST, COLEMAN PAVILLION ROOM A1121
LOMA LINDA, CA 92350
Pediatrics
11175 CAMPUS ST, SUITE 11120
LOMA LINDA, CA 92350
Pediatrics
11175 CAMPUS ST, CP-A1111
LOMA LINDA, CA 92350
Pediatrics (Neonatal-Perinatal Medicine)
11175 CAMPUS ST, SUITE 11121
LOMA LINDA, CA 92350
Surgery
11175 CAMPUS ST, CP AA121
LOMA LINDA, CA 92350
Pediatrics
11175 CAMPUS ST, CP-A1121
LOMA LINDA, CA 92350
Obstetrics & Gynecology
11175 CAMPUS ST, COLEMAN PAVILION, SUITE 11105
LOMA LINDA, CA 92350
General Acute Care Hospital (Critical Access)
11175 CAMPUS ST
LOMA LINDA, CA 92350
Psychiatry & Neurology (Neurology)
11175 CAMPUS ST, CP-11108
LOMA LINDA, CA 92350
Surgery (Surgical Critical Care)
11175 CAMPUS ST, RM 21008
LOMA LINDA, CA 92350
Psychiatry & Neurology (Clinical Neurophysiology)
11175 CAMPUS ST, CP-11108
LOMA LINDA, CA 92350
Specialist
11175 CAMPUS ST
LOMA LINDA, CA 92350
Pediatrics
11175 CAMPUS ST, A1117
LOMA LINDA, CA 92350
Nurse Practitioner (Pediatrics)
11175 CAMPUS ST, CP A1120
LOMA LINDA, CA 92350
Pediatrics
11175 CAMPUS ST, COLEMAN PAVILION A1111
LOMA LINDA, CA 92350
Internal Medicine (Hematology & Oncology)
11175 CAMPUS ST
LOMA LINDA, CA 92350
Surgery
11175 CAMPUS ST
LOMA LINDA, CA 92350
Pediatrics
11175 CAMPUS ST
LOMA LINDA, CA 92350
Pediatrics (Pediatric Nephrology)
11175 CAMPUS ST
LOMA LINDA, CA 92350
Surgery (Surgical Oncology)
11175 CAMPUS ST
LOMA LINDA, CA 92350

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134334600, enumerated as an "individual" on May 10, 2007.

The provider is located at 11175 CAMPUS ST CP A1117 LOMA LINDA, CA 92350 and the phone number is (909) 558-4250.

Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.

The provider might be accepting Accepts: Kaiser Permanente. Please consult your insurance carrier or call the provider to verify.