Active NPI
Gayle L Shimokaji, MD
- Ophthalmology Physician
- Greenbrae, CA
National Provider Identifier
1912099672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G063936
- Practice address
- 1000 S Elisco
# 203
Greenbrae, CA 94904 - Phone
- (415) 925-2020
- Fax
- (415) 925-1870
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G063936 | CA | Primary |
Addresses
Primary practice location
1000 S Elisco
# 203
Greenbrae, CA 94904
Mailing address
1000 S Elisco
# 203
Greenbrae, CA 94904
Phone (415) 925-2020
Other names 1
- Gayle L Shimokaji
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120221000926 | CA | Practitioner - Ophthalmology | 2264690304 | Practice locations: Greenbrae, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of California, San Francisco School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1000 S Elieso Dr
Suite 203
Greenbrae, CA 94904-2151
Phone (415) 925-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63936 | CA | MD | Mental Health Counselor |
| G063936 | CA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912099672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 S ELISCO",
"address_2": "# 203",
"city": "GREENBRAE",
"state": "CA",
"postal_code": "94904",
"telephone_number": "415-925-2020",
"fax_number": "415-925-1870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 S ELISCO",
"address_2": "# 203",
"city": "GREENBRAE",
"state": "CA",
"postal_code": "94904",
"telephone_number": "415-925-2020",
"fax_number": "415-925-1870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIMOKAJI",
"first_name": "GAYLE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G063936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GAYLE",
"last_name": "SHIMOKAJI",
"middle_name": "L",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Greenbrae, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.