{"npi":"1225501109","type":"NPI-1","status":"active","name":{"display":"Mr. Elijah Kim Pmhnp-Bc","other":[{"code":"5","type":"Also known as","value":"KIM, ELIJAH SANGKU-DANIEL"}],"first":"ELIJAH","last":"KIM","middle":"SANGKU-DANIEL","credential":"PMHNP-BC"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"CA","license":"19455"}]},"addresses":[{"purpose":"LOCATION","street_1":"277 RANCHEROS DR STE 301","city":"SAN MARCOS","state":"CA","postal_code":"920692993","country_code":"US","phone":"8555011004","fax":"7604714078"},{"purpose":"MAILING","street_1":"3835 N FREEWAY BLVD STE 100","city":"SACRAMENTO","state":"CA","postal_code":"958341954","country_code":"US"}],"license":{"state":"CA","number":"19455"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190711003612","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"CA","pac_id":"6002141140"}]},"enumeration_date":"2019-01-03","last_updated":"2026-05-22","_meta":{"source":"NPPES","snapshot_date":"2026-05-22","doc_url":"https://findmynpi.com/api"}}