Jonathan Kim, CADC-II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

AII063190821 Issued in CA

Practice address

80 E Hillcrest Dr Ste 110
Thousand Oaks, CA 91360-4226

Phone

(310) 756-7764

NPI assigned

Jun 23, 2023

Last updated

Jun 23, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Conejo Health

  • Community/Behavioral Health Agency
  • Westlake Village, CA
  • NPI 1245982883
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1184300220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17424 BURBANK BLVD APT 206",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161716",
            "telephone_number": "310-756-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E HILLCREST DR STE 110",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604226",
            "telephone_number": "310-756-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JONATHAN",
        "credential": "CADC-II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "AII063190821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Yelim Kim, L.AC
• Hojeong Kim, L.AC.
• Jasmine Kim, MD
• Jeong Hwan Jake Kim, MD
• Jiwoo Kim
• Jooyoug Kim
• Kay Jung Kim, PD, L.AC
• Lydia Kim, MD
• Miles Amorr Kim, DO
• Susie Kim, PHARMD

• Addiction (Substance Use Disorder) Counselor in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.