Demi Pham Shimizu, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

103692 Issued in CA

Practice address

2050 Judah St
San Francisco, CA 94122-1531

Phone

(415) 681-5437

NPI assigned

Feb 21, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: demi.pham.p1@direct.wcchc.nextgenshare.com

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.

• Azama and Wong Dental Corporation

  • Pediatric Dentistry
  • San Francisco, CA
  • NPI 1093561706
  NPD
• Nicolas Leonardi Bronzini, D.D.S., Inc.

  • Dental Clinic/Center
  • Millbrae, CA
  • NPI 1356515241
  NPD (past)

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1124567383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1763 FOXWORTHY AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242406",
            "telephone_number": "408-887-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 JUDAH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221531",
            "telephone_number": "415-681-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Taylor Blvd",
            "address_purpose": "LOCATION",
            "city": "Millbrae",
            "state": "CA",
            "postal_code": "940301915",
            "country_code": "US",
            "telephone_number": "650-697-0981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2537 Ocean Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941321613",
            "country_code": "US",
            "telephone_number": "415-681-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIMIZU",
        "first_name": "DEMI",
        "middle_name": "PHAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "103692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin A. Shimano, M.D.
• Brooke Shimazaki, PT, DPT
• Julie Hitomi Shimazu-Deacon
• Ekaterina Shimchuk
• Jessica Anne Shimerdla, PHARMD
• Erika Shimizu, ASW
• Alex Paul Shimkus, CPO
• Kelly H. Shimokusu, M.D.
• Janet CHI-Jane Shimotake, M.D.
• Thomas K. Shimotake, M.D.

• Pediatric Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.