NPIMap

Individual provider Active NPI

Catherine Angela Kim, M.D.

  • Family Medicine Physician
  • Camarillo, CA
National Provider Identifier
1497819809
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C51524 Issued in CA
Practice address
422 Arneill Rd Ste B
Camarillo, CA 93010
Phone
(805) 482-1282
NPI assigned
Dec 20, 2006
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C51524 CA Primary

Addresses

Primary practice location

422 Arneill Rd Ste B
Camarillo, CA 93010

Mailing address

5855 Olivas Park Dr
Ventura, CA 93003-7672
Phone (805) 667-2801

Other practice location 1

2921 Saviers Rd
Oxnard, CA 93033-5314
Phone (805) 487-5588

Other practice location 2

1601 Carmen Dr Ste 216
Camarillo, CA 93010-3167
Phone (310) 792-3914

Other practice location 3

133 W Santa Clara St
Ventura, CA 93001-2543
Phone (805) 641-5600

Other practice location 4

1227 E Los Angeles Ave
Simi Valley, CA 93065-2871
Phone (805) 582-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address catherine.kim@ventura.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041021001079 CA Practitioner - Family Practice 9638081110 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Geffen School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of VenturaGroup PAC ID 7911810171, 340 clinicians
Community Memorial Health SystemGroup PAC ID 9537155676, 187 clinicians

Practice addresses (Care Compare)

300 Hillmont Ave
Ventura, CA 93003-1651
Phone (805) 654-3306

422 Arneill Rd B
Camarillo, CA 93010-6434
Phone (805) 383-4510

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C51524CAMDFamily Medicine Physician
51524CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Health System CurrentSince Jun 24, 2018 Accepting new patients
Community Memorial Health System Current Accepting new patients
Primary Medical Group of Ventura County Inc Family Medicine CurrentSince Jul 26, 2017 Accepting new patients
Community Memorial Health System CurrentSince Jun 24, 2018 Accepting new patients
County of Ventura CurrentSince Jun 6, 2018 Accepting new patients
County of Ventura CurrentSince Jun 6, 2018 Accepting new patients
Health One Physician Associates LLC Family Medicine Past Accepting new patients
Community Memorial Hospital District Past Accepting new patients
Community Memorial Health System Past Accepting new patients

Locations

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

1751 Lombard St
#A
Oxnard, CA 93030
Phone (805) 981-9111

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

1227 E Los Angeles Ave
Simi Valley, CA 93065
Phone (805) 582-4000

10885 Telegraph Rd
Ventura, CA 93004
Phone (805) 647-7704

133 W Santa Clara St
Ventura, CA 93001
Phone (805) 641-5600

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

3555 Loma Vista Rd
Ste 110
Ventura, CA 93003
Phone (805) 653-0303

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

800 S Victoria Ave
#L4640
Ventura, CA 93009

Interoperability endpoints

  • Direct secure messaging: catherine.kim@ventura.cernerdirect.com
  • Direct secure messaging: catherinekim@cfh.allscriptsdirect.net
  • Direct secure messaging: ckim3514626@oc.providencedirect.org

Organizations & group practices 9

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1497819809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 OLIVAS PARK DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037672",
            "telephone_number": "805-667-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 ARNEILL RD STE B",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "93010",
            "telephone_number": "805-482-1282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2921 Saviers Rd",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930335314",
            "country_code": "US",
            "telephone_number": "805-487-5588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Carmen Dr Ste 216",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930103167",
            "country_code": "US",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 W Santa Clara St",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930012543",
            "country_code": "US",
            "telephone_number": "805-641-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1227 E Los Angeles Ave",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930652871",
            "country_code": "US",
            "telephone_number": "805-582-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "CATHERINE",
        "middle_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C51524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "catherine.kim@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "133 W Santa Clara St",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930012543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.