Active NPI
Judith Young Kim, MOT
- Occupational Therapist
- Rancho Mirage, CA
National Provider Identifier
1205082336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8998
- Practice address
- 72201 Country Club Dr
Rancho Mirage, CA 92270-4001 - Phone
- (760) 340-5999
- NPI assigned
- Aug 8, 2008
- Last updated
- Aug 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 8998 | CA | Primary |
Addresses
Primary practice location
72201 Country Club Dr
Rancho Mirage, CA 92270-4001
Mailing address
544 Clover St
Redlands, CA 92373-5651
Phone (909) 215-3527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218153600000",
"number": "1205082336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "544 CLOVER ST",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735651",
"telephone_number": "909-215-3527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72201 COUNTRY CLUB DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922704001",
"telephone_number": "760-340-5999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JUDITH",
"middle_name": "YOUNG",
"name_prefix": "Ms.",
"credential": "MOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-08",
"last_updated": "2008-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "8998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.