Judy Kim, B.S

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

27076 Cypress St
Highland, CA 92346-3662

Phone

(909) 647-3828

NPI assigned

Feb 22, 2017

Sex

Female

Sole proprietor

Yes

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

Credentials

Bachelor of Science

Practice roles

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.

• Shine Bright Network LLC

  • Behavior Analyst
  • Highland, CA
  • NPI 1063043644
  NPD

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601078400000",
    "number": "1710426887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 CORAL TREE RD",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923248484",
            "telephone_number": "909-679-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27076 CYPRESS ST",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923463662",
            "telephone_number": "909-647-3828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38975 Sky Canyon Dr",
            "address_2": "#103",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925632675",
            "country_code": "US",
            "telephone_number": "657-203-1427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUDY",
        "credential": "B.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2020-09-26",
        "certification_date": "2020-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Kangah, MD
• Claire Kayitesi
• Corrie Keener, LMFT
• Martin Khairullah
• Jin Rian Kim, MD
• Kyu Hwan Kim, AC
• Nayeon Kim, DDS
• Soo Y Kim, M.D.
• Shawntel Kingstro
• Molly Kivumbi

• Community/Behavioral Health Agency in Highland, CA
• Providers in Highland, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2020; 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.