Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUSS T SHIMIZU, M.D.
Deactivated Sole ProprietorDR. RUSS T SHIMIZU, M.D. is a Neurology healthcare provider located in SANTA MONICA, California. NPI 1780688242 is deactivated in the NPPES registry. Verify at CMS.
Neurology · SANTA MONICA, CA
This NPI has been deactivated.
The record was deactivated on March 16, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1780688242
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2005 (0.76164383561644 yrs)
- Last Updated
- Feb 11, 2021
- Deactivated
- Mar 16, 2006
- License
-
C33305 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2811 WILSHIRE BLVDSTE 790SANTA MONICA, CA, 904034805Browse CA providers · Browse ZIP 90403
- Phone
- 3108295968
- Fax
- 3104533685
- Primary Specialty
-
Neurology
2084N0400X
Other Neurology Providers in SANTA MONICA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. EDWARD J O'CONNOR | M.D. | 1568466555 |
| DR. SANTOSH KESARI | MD PHD | 1891785960 |
| DOOJIN KIM | MD | 1487679858 |
| MICHAEL EDWARD GOLD | MD | 1750306155 |
| BARBARA SUSAN GIESSER | MD | 1235154055 |
| EDWIN CURTIS AMOS | MD | 1992720379 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.