Vicki Y Shimoyama, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A60031 Issued in CA

Practice address

8501 Wilshire Blvd
#205
Beverly Hills, CA 90211-3101

Phone

(310) 385-3345

Fax

(310) 248-7010

NPI assigned

Jun 29, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vshimoyama103756@direct.cshs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cedars-Sinai Medical Care Foundation

  • Specialist
  • Los Angeles, CA
  • NPI 1316984388
  Medicare reassignment NPD
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1104823723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 WILSHIRE BLVD",
            "address_2": "#205",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113101",
            "telephone_number": "310-385-3345",
            "fax_number": "310-248-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 WILSHIRE BLVD",
            "address_2": "#205",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113101",
            "telephone_number": "310-385-3345",
            "fax_number": "310-248-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMOYAMA",
        "first_name": "VICKI",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-29",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A60031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lou Ellen Sherrill, PH.D.
• Sherwin a Barvarz M D Inc
• Shhi Medical Inc a Professional Corporation
• B G Shily, O.D.
• Connie Shim
• Ein Soon Shin, LIC. AC., PHD, MPH
• Shing Medical Boutique
• Amy Shiotani, PHD, DOM, L.AC.
• Sheila Shirian, R.D.
• Ani Shirvanian, MSN-FNP

• Pediatrics Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.