RONALD K SHIMMIN M.D.
NPI 1225153315
General Practice in San Marcos, CA

Q: What is Ronald Shimmin's NPI number?

The NPI number for Ronald Shimmin is 1225153315. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Q: What is Ronald Shimmin's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Ronald Shimmin was last updated on March 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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 March 20, 2007PECOS Enrolled

1146 SAN MARINO DR, SAN MARCOS, CA 92078(760) 471-2033(760) 471-2083 Get Directions Write a Review

NPPES record last updated: March 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ronald K Shimmin M.d. NPPES

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

RONALD K SHIMMIN M.D. (NPI 1225153315) is an individual general practice provider in San Marcos, California, licensed in California (A37055) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225153315

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameRONALD K SHIMMINCredential: M.D.

Location Address1146 SAN MARINO DRSan Marcos, CA 92078-4649

Mailing Address5080 Spectrum Dr, Suite 1200 WestAddison, TX 75001-4648 · (972) 364-8000

Phone(760) 471-2033

Fax(760) 471-2083

Sole ProprietorNo

Enumeration DateMarch 20, 2007

Last NPPES UpdateMarch 16, 2015

✔ NPI 1225153315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · A37055

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License A37055 (CA)

1146 SAN MARINO DR, San Marcos, CA 92078

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Other Identifiers 8

Medicare UPINCE921TCA

Medicare UPINCE921SCA

Medicare UPINCE921UCA

Medicare UPINCE921XCA

Medicare UPINCE921VCA

Medicare UPINCE921WCA

Medicare UPINCE921YCA

Medicare UPINCE921ZCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ronald K Shimmin 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 9

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

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