Ah Young Kim, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

155622 Issued in CA

Practice address

137 N Cottonwood St Ste 1500
Woodland, CA 95695-6646

Phone

(305) 666-8630

NPI assigned

Jul 21, 2011

Last updated

Feb 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yolo County Health and Human Services Agency

  • Community/Behavioral Health Agency
  • Davis, CA
  • NPI 1053443135
  Medicare reassignment NPD
• Yolo County Health and Human Services Agency

  • Community/Behavioral Health Agency
  • Woodland, CA
  • NPI 1346446432
  NPD
• Yolo County Health and Human Services Agency

  • Community/Behavioral Health Agency
  • Woodland, CA
  • NPI 1144352220
  NPD (past)

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1518245778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 A ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956163649",
            "telephone_number": "530-666-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N COTTONWOOD ST STE 1500",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956956646",
            "telephone_number": "305-666-8630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 A St",
            "address_purpose": "LOCATION",
            "city": "Davis",
            "state": "CA",
            "postal_code": "956163649",
            "country_code": "US",
            "telephone_number": "530-666-8630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "West Sacramento",
            "state": "CA",
            "postal_code": "956052350",
            "country_code": "US",
            "telephone_number": "530-666-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "AH YOUNG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "155622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nona Khara
• Syed A Khasimuddin, M.D.
• Rubina Khorana, DDS
• Shannon Anthony Kildare, LCSW
• Jenny Killeen
• Brian S. Kim, DMD
• Paul W. Kim
• Roseanne Kim, LMFT
• Melanie King, B.A
• Sabina Kish

• Child & Adolescent Psychiatry Physician in Woodland, CA
• Providers in Woodland, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.