Shiho Kojima

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95019259 Issued in CA

Practice address

23181 Verdugo Dr Ste 103a
Laguna Hills, CA 92653-1313

Phone

(949) 366-1053

NPI assigned

Dec 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shiho Kojima Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

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  • NPI 1033164017

  Single Specialty

  Medicare reassignment NPD
• Interventional Cardiology Medical Group, Inc

  • Cardiovascular Disease Physician
  • West Hills, CA
  • NPI 1396719480

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1902564396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4657 ENSENADA DR",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913645413",
            "telephone_number": "424-230-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23181 VERDUGO DR STE 103A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531313",
            "telephone_number": "949-366-1053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "St. John's Regional Medical Center - 1600 N Rose Avenue",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930303722",
            "country_code": "US",
            "telephone_number": "805-988-2500",
            "fax_number": "805-485-3025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "St. John's Pleasant Valley Hospital - 2309 Antonio Ave",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930101414",
            "country_code": "US",
            "telephone_number": "805-389-5800",
            "fax_number": "805-485-3025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOJIMA",
        "first_name": "SHIHO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIHO",
            "last_name": "KOJIMA",
            "credential": "AANP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cori Lee Koenig
• Tamra Koester
• Koh and Park DDS Inc
• Stephanie Kohar
• Nancie Kohlenberger, LMFT
• Swarna Latha Kommireddy, NP
• Paul William Konopasky, RPT
• Peter John Konopasky, RPT
• Kontar Enterprises Inc
• Mackenzie Konther

• Family Nurse Practitioner in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.