Kenneth K Shimozaki
DPM | Podiatrist | 34+ years Exp
Medicare Enrolled
3031 W March Ln, Suite 310, Stockton
California, 95219-6500
209-472-0800 209-472-1203
Maps & DirectionsKenneth K Shimozaki is a Stockton, California based podiatrist with 34 years of experience in Podiatry. He completed his graduation from California School Of Podiatric Medicine in 1991. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kenneth K Shimozaki for Podiatry is E3847 in California.
Kenneth K Shimozaki is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Kenneth K Shimozaki speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | DPM |
| Experience: | 34+ years |
| Medical School Attended: | California School Of Podiatric Medicine |
| Graduation Year: | 1991 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 3031 W March Ln, Suite 310, Stockton,
California, 95219-6500 |
| Phone: | 209-472-0800 |
| Fax: | 209-472-1203 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7416056205 |
| Enrollment ID: | I20070619000684 |
| NPI Number: | 1053429027 |
| NPI Enumeration Date: | 29 Aug, 2006 |
| NPI Last Update On: | 19 Nov, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth K Shimozaki are as mentioned below.
| License Number | Specialization | State | Status | |
| E3847 | Podiatry | California | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kenneth K Shimozaki is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Pacific Wound Center Medical Group, Inc. (2163419581) | 5 |
| Valley Podiatry Group Inc (8820027212) | 4 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kenneth K Shimozaki such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| GRE001670 | Medicaid | California | |
| E3847 | Other | California | STATE LICENSE # |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3031 W March Ln, Suite 310
Stockton, California |
| Zip: | 95219-6500 |
| Phone Number: | 209-472-0800 |
| Fax Number: | 209-472-1203 |
Patients can reach Kenneth K Shimozaki at
3031 W March Ln, Suite 310, Stockton, California or can
call to book an appointment on 209-472-0800.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.