Elijah Kimble

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

3553 Atlantic Ave # 1200
Long Beach, CA 90807-5606

Phone

(562) 751-5242

Fax

(562) 751-5242

NPI assigned

Feb 4, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Community First Housing Corp

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Long Beach, CA
  • NPI 1013725654
  NPD Authorized official
• Erg Properties LLC

  • Case Manager/Care Coordinator
  • Long Beach, CA
  • NPI 1619839081
  NPD Authorized official

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1407246978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3553 ATLANTIC AVE # 1200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908075606",
            "telephone_number": "562-751-5242",
            "fax_number": "562-751-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3553 ATLANTIC AVE # 1200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908075606",
            "telephone_number": "562-751-5242",
            "fax_number": "562-751-5242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4731 Pearce Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908081140",
            "country_code": "US",
            "telephone_number": "562-751-5242",
            "fax_number": "562-751-5242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "ELIJAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-04",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yejin Kim, D.C.
• Yeo Lim Kim, M.A.
• Yisook Kim
• Kimberly Bedell, M.D., Inc.
• Alexander Kimble
• Myeasha Kimble, FNP-BC
• Penny Elizabeth King-Licano, LMFT
• Alicia King, CADC-II
• Alicia Leashu King, D.O
• David Frederick King, NP

• Rehabilitation Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.