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Deactivated NPI 1124035530 Deactivated / Inactive NPI Male Practitioner

Dr. Robert T Shimizu , MD

Pediatrics • Lafayette, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Shimizu has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 01, 2006
NPI Deactivation Date February 26, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Shimizu, MD was a registered Pediatrics practicing in Lafayette, CA. Throughout an active medical career spanning 20 years, Dr. Shimizu provided care at the practice location at 930 DEWING AVE until profile deactivation on 2026-02-26.

Practice Location & Contact Primary Location

Practice Address

930 Dewing Ave

Lafayette, CA 945494223

Telephone 9252841800
Fax 9252841235
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lafayette, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
11 Specialists

Practicing in Lafayette, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA C29804

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Deirdre Farlow

Pediatrics

NPI 1053710095
NPI 1194731117

Doctor of Medicine (M.D.)

NPI 1316953342

Doctor of Medicine (M.D.)

NPI 1609882638

Doctor of Medicine (M.D.)

NPI 1689680613

Doctor of Medicine (M.D.)

NPI 1740291848

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 26, 2026

Record deactivated on February 26, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 930 DEWING AVE, LAFAYETTE, CA 945494223 (Tel: 9252841800)

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Updated Business Mailing Address July 08, 2007

Registered at 930 DEWING AVE, LAFAYETTE, CA 945494223 (Tel: 9252841800)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT SHIMIZU, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #C29804 in CA)

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Initial NPI Registration & Enumeration August 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124035530
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2006
Last Update: July 08, 2007
Deactivation Date: February 26, 2026

Mailing Address

930 Dewing Ave

Lafayette, CA 945494223

Phone: 9252841800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.