Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DEISY KIM MA
NPI 1336790203
Counselor - Mental Health in San Juan Capistrano, CA

Active since September 23, 2019
33122 VALLE RD, SAN JUAN CAPISTRANO, CA 92675(714) 794-9530 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2026, Apr 28, 2026, Sep 29, 2022 and 6 more (9 updates tracked since 2019).

About Deisy Kim Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEISY KIM MA (NPI 1336790203) is an individual mental health provider in San Juan Capistrano, California, licensed in California (LPCC18010) and active in the NPI registry since September 2019. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1336790203
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDEISY KIMCredential: MA
Location Address33122 VALLE RDSan Juan Capistrano, CA 92675-4859
Mailing AddressPo Box 10536Santa Ana, CA 92711-0536
Sole ProprietorNo
Enumeration DateSeptember 23, 2019
Last NPPES UpdateJuly 14, 20269 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1336790203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · LPCC18010
33122 VALLE RD, San Juan Capistrano, CA 92675

Other Names 1

Former Name (1)Deisy Hernandez Cristobal

Secondary Practice Locations 3

Location 1511 N Brookhurst St Ste 200Anaheim, CA 92801-5229 · Phone (714) 780-0750
Location 227125 Calle ArroyoSan Juan Capistrano, CA 92675-2763 · Phone (714) 794-9530
Location 32001 E 4th St Ste 200Santa Ana, CA 92705-3916 · Phone (714) 824-8140 · Fax (714) 824-8142

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (School)
33122 VALLE RD
SAN JUAN CAPISTRANO, CA 92675
Counselor
33122 VALLE RD
SAN JUAN CAPISTRANO, CA 92675
Counselor (School)
33122 VALLE RD
SAN JUAN CAPISTRANO, CA 92675
Occupational Therapist
33122 VALLE RD
SAN JUAN CAPISTRANO, CA 92675
Counselor (School)
33122 VALLE RD
SAN JUAN CAPISTRANO, CA 92675
Counselor (School)
33122 VALLE RD
SAN JUAN CAPISTRANO, CA 92675
Counselor
33122 VALLE RD
SAN JUAN CAPISTRANO, CA 92675
Counselor (School)
33122 VALLE RD
SAN JUAN CAPISTRANO, CA 92675

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deisy Kim's NPI number?

The NPI number for Deisy Kim is 1336790203. It was assigned to this individual provider in the NPPES registry on September 23, 2019. The provider is also known as Deisy Hernandez Cristobal.

Where is Deisy Kim located?

Deisy Kim practices at 33122 Valle Rd, San Juan Capistrano, CA 92675. The listed phone number is (714) 794-9530.

What is Deisy Kim's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Deisy Kim was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.