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RUSS T SHIMIZU, M.D., INC.
NPI 1912167461
Psychiatry & Neurology - Neurology in Santa Monica, CA

Active since June 09, 2008
2811 WILSHIRE BLVD STE 550, SANTA MONICA, CA 90403(310) 829-5968(310) 453-3685 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Russ T Shimizu, M.d., Inc. NPPES

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

RUSS T SHIMIZU, M.D., INC. (NPI 1912167461) is a healthcare organization registered as a neurology in Santa Monica, California and active in the NPI registry since June 2008. The organization lists Russ T Shimizu, Owner, as its authorized official.

NPPES Registry Identity

NPI1912167461
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameRUSS T SHIMIZU, M.D., INC.
Location Address2811 WILSHIRE BLVD STE 550Santa Monica, CA 90403-4806
Mailing Address2811 Wilshire Blvd Ste 550Santa Monica, CA 90403-4806 · (310) 323-0026 · Fax (310) 453-3685
Phone(310) 829-5968
Fax(310) 453-3685
Organization SubpartNo
Authorized OfficialRuss T ShimizuOwner · (310) 829-5968
Enumeration DateJune 9, 2008
Last NPPES UpdateFebruary 11, 2021
NPPES CertifiedFebruary 11, 2021
✔ NPI 1912167461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · C33305
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2811 WILSHIRE BLVD STE 550, Santa Monica, CA 90403
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Other Identifiers 2

OtherC33305CA · Blue Cross
Other00C333052CA · Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Russ T Shimizu, M.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Russ T Shimizu, M.D., Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Russ Shimizu, M.D.
Neurology
NPI 1780688242
2811 WILSHIRE BLVD STE 790
Santa Monica, CA 90403
(310) 829-5968
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Russ T Shimizu, M.D., Inc.'s NPI number?

The NPI number for Russ T Shimizu, M.D., Inc. is 1912167461. It was assigned to this organization in the NPPES registry on June 9, 2008.

Where is Russ T Shimizu, M.D., Inc. located?

Russ T Shimizu, M.D., Inc. is located at 2811 Wilshire Blvd Ste 550, Santa Monica, CA 90403. The listed phone number is (310) 829-5968.

What is Russ T Shimizu, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Russ T Shimizu, M.D., Inc. enrolled in Medicare?

Yes. Russ T Shimizu, M.D., Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Russ T Shimizu, M.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Russ T Shimizu, M.D., Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Russ T Shimizu, M.D., Inc. was last updated on February 11, 2021. 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.