LYDIA KIM MD
NPI 1407334428
Psychiatry & Neurology - Child & Adolescent Psychiatry in Thousand Oaks, CA

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

Active since August 01, 2018PECOS Enrolled

125 W THOUSAND OAKS BLVD STE 500, THOUSAND OAKS, CA 91360(805) 777-3500 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 11, 2025, Oct 11, 2024, Jul 26, 2023 and 3 more (6 updates tracked since 2018).

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About Lydia Kim Md NPPES

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

LYDIA KIM MD (NPI 1407334428) is an individual child & adolescent psychiatry provider in Thousand Oaks, California, licensed in California (A165624) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1407334428

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameLYDIA KIMCredential: MD

Location Address125 W THOUSAND OAKS BLVD STE 500Thousand Oaks, CA 91360-4462

Mailing Address260 Newport Center Dr Ste 510Newport Beach, CA 92660-7520 · (949) 287-3240 · Fax (839) 867-0808

Phone(805) 777-3500

Sole ProprietorNo

Enumeration DateAugust 1, 2018

Last NPPES UpdateAugust 11, 20256 updates tracked since enumeration

NPPES CertifiedAugust 11, 2025

✔ NPI 1407334428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

Licenses✔ Licensed in CA · A165624✔ Licensed in WA · 61175801

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

125 W THOUSAND OAKS BLVD STE 500, Thousand Oaks, CA 91360

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Secondary Practice Locations 4

Location 1260 Newport Center Dr Ste 510Newport Beach, CA 92660-7520 · Phone (949) 287-3240

Location 24800 Sand Point Way NESeattle, WA 98105-3901 · Phone (206) 987-3268

Location 35901 E 7th StLong Beach, CA 90822-5201 · Phone (562) 826-8000

Location 4101 The City Dr S Bldg 3Orange, CA 92868-3201 · Phone (714) 456-5770

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lydia Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.