RONALD K SHIMMIN M.D. NPI 1225153315

NPI Information

  • NPI: 1225153315
  • Provider Name: RONALD K SHIMMIN, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1146 SAN MARINO DR
    SAN MARCOS, CA
    ZIP 92078
  • Phone: (760) 471-2033

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NPI Details

Ronald K Shimmin, M.D. is a general practice in San Marcos, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Ronald K Shimmin, M.D. NPI is 1225153315. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1146 SAN MARINO DR
SAN MARCOS, CA
ZIP 92078-649
Phone: (760) 471-2033
Fax: (760) 471-2083

The NPI 1225153315 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 3/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083X0100XPreventive MedicineOccupational MedicineA37055CALIFORNIANo
2208D00000XGeneral PracticeA37055CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CE921TMEDICARE UPINCALIFORNIA
2CE921SMEDICARE UPINCALIFORNIA
3CE921UMEDICARE UPINCALIFORNIA
4CE921XMEDICARE UPINCALIFORNIA
5CE921VMEDICARE UPINCALIFORNIA
6CE921WMEDICARE UPINCALIFORNIA
7CE921YMEDICARE UPINCALIFORNIA
8CE921ZMEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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