Active NPI
Blair Yejin Kim
- Psychiatry Physician
- Chatsworth, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 184516
- Practice address
- 20151 Nordhoff St
Chatsworth, CA 91311-6215 - Phone
- (818) 407-3100
- NPI assigned
- Mar 31, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 184516 | CA | Primary |
Addresses
Primary practice location
20151 Nordhoff St
Chatsworth, CA 91311-6215
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
300 Ucla Medical Plz Ste 1200
Los Angeles, CA 90095-4018
Phone (310) 825-9989
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Loma Linda University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
300 Medical PLZ
Suite 2200
Los Angeles, CA 90095-6968
Phone (310) 825-9989
757 Westwood PLZ
Los Angeles, CA 90095-0001
Phone (310) 825-9111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 184516 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UC Regents | Psychiatry | Current | Accepting new patients |
Locations
300 Medical Plz
Los Angeles, CA 90095
Phone (310) 206-8438
760 Westwood Plz
Ste 37384
Los Angeles, CA 90095
300 UCLA Medical Plz
Ste 2200
Los Angeles, CA 90095
Phone (310) 267-6810
File 2939
Los Angeles, CA 90074
Phone (310) 794-6596
760 Westwood Plz
Ste 37384
Los Angeles, CA 90024
Phone (310) 206-6721
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
300 UCLA Medical Plz
Ste 1200
Los Angeles, CA 90095
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1649858580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20151 NORDHOFF ST",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "913116215",
"telephone_number": "818-407-3100"
}
],
"practiceLocations": [
{
"address_1": "300 Ucla Medical Plz Ste 1200",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900954018",
"country_code": "US",
"telephone_number": "310-825-9989",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "BLAIR",
"middle_name": "YEJIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-31",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "184516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chatsworth, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.