Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelsie Midori Shimizu

Individual provider Physician Assistant · NPI 1972107811

Kelsie Midori Shimizu is a Physician Assistant in Arcadia, California. Graduated from Eastern Virginia Medical School in 2021, 5 years ago. Practices with USC Care Medical Group Inc, a 1,371-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Trained at
Eastern Virginia Medical School
Licensed in
CA
In the registry since
2020
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Practice location Address checks out

125 W Huntington Dr Bldg A200
Arcadia, CA 91007-3050
Phone: (323) 442-5790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60125 (CA)

Record details

NPI number1972107811
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 22, 2020
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2021 (5 years in practice)
Group practice Usc Care Medical Group Inc — 1371 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Arcadia