Individual provider Active NPI

Jin Ah Kim

  • Behavior Technician
  • Santa Barbara, CA
National Provider Identifier
1285285866
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
533 E Micheltorena St Ste 101
Santa Barbara, CA 93103-2260
Phone
(805) 837-0556
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CA Primary

Addresses

Primary practice location

533 E Micheltorena St Ste 101
Santa Barbara, CA 93103-2260

Mailing address

6604 Sabado Tarde Rd Apt a
Goleta, CA 93117-5007
Phone (714) 833-2009

Other practice location 1

6604 Sabado Tarde Rd Apt A
Goleta, CA 93117-5007
Phone (714) 833-2009

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": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1285285866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6604 SABADO TARDE RD APT A",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931175007",
            "telephone_number": "714-833-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 E MICHELTORENA ST STE 101",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032260",
            "telephone_number": "805-837-0556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6604 Sabado Tarde Rd Apt A",
            "address_purpose": "LOCATION",
            "city": "Goleta",
            "state": "CA",
            "postal_code": "931175007",
            "country_code": "US",
            "telephone_number": "714-833-2009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JIN AH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.