{"npi":"1912167461","type":"NPI-2","status":"active","name":{"display":"Russ T Shimizu, M.D., Inc.","other":[],"organization_name":"RUSS T SHIMIZU, M.D., INC.","authorised_official":"Russ Shimizu"},"specialty":{"primary_taxonomy":"2084N0400X","primary_taxonomy_description":"Neurology","slug":"neurology","schema_org_specialty":"Neurologic","all":[{"code":"2084N0400X","description":"Neurology","primary":true,"state":"CA","license":"C33305"}]},"addresses":[{"purpose":"LOCATION","street_1":"2811 WILSHIRE BLVD STE 550","city":"SANTA MONICA","state":"CA","postal_code":"904034806","country_code":"US","phone":"3108295968","fax":"3104533685"},{"purpose":"MAILING","street_1":"2811 WILSHIRE BLVD STE 550","city":"SANTA MONICA","state":"CA","postal_code":"904034806","country_code":"US","phone":"3103230026","fax":"3104533685"}],"license":{"state":"CA","number":"C33305"},"identifiers":[{"type_code":"01","label":"Other","value":"C33305","state":"CA","issuer":"BLUE CROSS"},{"type_code":"01","label":"Other","value":"00C333052","state":"CA","issuer":"BLUE SHIELD"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20081030000687","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"6406915883"}]},"enumeration_date":"2008-06-09","last_updated":"2021-02-11","_meta":{"source":"NPPES","snapshot_date":"2021-02-11","doc_url":"https://findmynpi.com/api"}}