Active NPI
Esther Yelim Kim, L.AC
- Acupuncturist
- Thousand Oaks, CA
National Provider Identifier
1457598948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 13424
- Practice address
- 650 E. Thousand Oaks Blvd
Chan Acupuncture Clinic
Thousand Oaks, CA 91360-6009 - Phone
- (425) 463-6187
- Fax
- (805) 497-7631
- NPI assigned
- Jan 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 13424 | CA | Primary |
| Acupuncturist | 171100000X | AC 60055629 | WA |
Addresses
Primary practice location
650 E. Thousand Oaks Blvd
Chan Acupuncture Clinic
Thousand Oaks, CA 91360-6009
Mailing address
650 E. Thousand Oaks Blvd
Chan Acupuncture Clinic
Thousand Oaks, CA 91360
Phone (425) 463-6187
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC 13424 | CA | MD | Acupuncturist |
| AC 60055629 | WA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smyrna Family Medicine, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Smyrna, GA
- NPI 1598168650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270512000000",
"number": "1457598948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 E. THOUSAND OAKS BLVD",
"address_2": "CHAN ACUPUNCTURE CLINIC",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "91360",
"telephone_number": "425-463-6187",
"fax_number": "805-497-7631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 E. THOUSAND OAKS BLVD",
"address_2": "CHAN ACUPUNCTURE CLINIC",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913606009",
"telephone_number": "425-463-6187",
"fax_number": "805-497-7631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ESTHER",
"middle_name": "YELIM",
"name_prefix": "Dr.",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-21",
"last_updated": "2010-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 13424",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC 60055629",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.