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

Q: What is Lydia Kim's NPI number?

The NPI number for Lydia Kim is 1407334428. It was assigned to this individual provider in the NPPES registry on August 1, 2018.

Q: What is Lydia Kim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Lydia Kim was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

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: August 09, 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 14800 Sand Point Way NESeattle, WA 98105-3901 · Phone (206) 987-3268

Location 25901 E 7th StLong Beach, CA 90822-5201 · Phone (562) 826-8000

Location 3260 Newport Center Dr Ste 510Newport Beach, CA 92660-7520 · Phone (949) 287-3240

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.

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.

REGINA CASTILLO

Registered Nurse