DR. MARK SHIMIZU D.D.S.
NPI 1316289069
Dentist - General Practice in San Fernando, CA

Active since March 20, 2013
400 N MACLAY AVE, SAN FERNANDO, CA 91340(818) 361-4084(818) 365-6112 Get Directions Write a Review

NPPES record last updated: March 20, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark Shimizu D.d.s. NPPES

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

DR. MARK SHIMIZU D.D.S. (NPI 1316289069) is an individual general practice provider in San Fernando, California, licensed in California (28814) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1316289069
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK SHIMIZUCredential: D.D.S.
Location Address400 N MACLAY AVESan Fernando, CA 91340-2417
Mailing Address400 N Maclay AveSan Fernando, CA 91340-2417 · (818) 361-4084 · Fax (818) 365-6112
Fax(818) 365-6112
Sole ProprietorNo
Enumeration DateMarch 20, 2013
NPI 1316289069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 28814
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
400 N MACLAY AVE, San Fernando, CA 91340

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Dentist (Orthodontics and Dentofacial Orthopedics)
400 N MACLAY AVE
SAN FERNANDO, CA 91340
Dentist (General Practice)
400 N MACLAY AVE
SAN FERNANDO, CA 91340
Dentist
400 N MACLAY AVE
SAN FERNANDO, CA 91340
Dentist (General Practice)
400 N MACLAY AVE
SAN FERNANDO, CA 91340
Dentist
400 N MACLAY AVE
SAN FERNANDO, CA 91340
Dentist (General Practice)
400 N MACLAY AVE
SAN FERNANDO, CA 91340

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 Mark Shimizu's NPI number?

The NPI number for Mark Shimizu is 1316289069. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Where is Mark Shimizu located?

Mark Shimizu practices at 400 N Maclay Ave, San Fernando, CA 91340. The listed phone number is (818) 361-4084.

What is Mark Shimizu's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Mark Shimizu accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 2 other insurers list Mark Shimizu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Shimizu was last updated on March 20, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.