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MATTHEW SHIMAZU
NPI 1790314714
Counselor - Mental Health in San Diego, CA

Active since April 02, 2020
3132 JEFFERSON ST, SAN DIEGO, CA 92110(619) 683-3100 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2020, Apr 2, 2020 (2 updates tracked since 2020).

About Matthew Shimazu NPPES

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

MATTHEW SHIMAZU (NPI 1790314714) is an individual mental health provider in San Diego, California and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1790314714
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMATTHEW SHIMAZU
Location Address3132 JEFFERSON STSan Diego, CA 92110-4421
Mailing Address1260 Morena Blvd Ste 100San Diego, CA 92110-3850
Phone(619) 683-3100
Sole ProprietorNo
Enumeration DateApril 2, 2020
Last NPPES UpdateNovember 19, 20202 updates tracked since enumeration
NPPES CertifiedNovember 19, 2020
✔ NPI 1790314714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
3132 JEFFERSON ST, San Diego, CA 92110
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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.

ISRAEL Q LIM
Licensed Vocational Nurse
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100
RICHARD REASON
Case Manager/Care Coordinator
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100
ANTONETTE ROBINSON
Counselor
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100
JESSICA GARDNER
Case Manager/Care Coordinator
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100
SADIA YUSUF
Counselor
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 318-0518
CLAIRE ELIZABETH WHITE BACHELOR OF SCIENCE
Case Manager/Care Coordinator
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100
GABRIELA BERENICE RIVERA RUIZ
Counselor
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100
SARA ASHLYN GOULD
Social Worker (Clinical)
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100

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 Matthew Shimazu's NPI number?

The NPI number for Matthew Shimazu is 1790314714. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Matthew Shimazu located?

Matthew Shimazu practices at 3132 Jefferson St, San Diego, CA 92110. The listed phone number is (619) 683-3100.

What is Matthew Shimazu's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Matthew Shimazu was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.