Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Russ T Shimizu, MD

Individual provider Neurology Physician · NPI 1780688242

Dr. Russ T Shimizu, MD is a Neurology in Santa Monica, California. Graduated from University of Colorado School of Medicine, Denver in 1967, 59 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
59
Trained at
University of Colorado School of Medicine, Denver
Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2811 Wilshire Blvd Ste 790
Santa Monica, CA 90403-4805
Phone: (310) 829-5968
Fax: (310) 453-3685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence C33305 (CA)

Record details

NPI number1780688242
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 11, 2005
Last updated in NPPESFebruary 11, 2021
Certification dateFebruary 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated 1967 (59 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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