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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Charles Chol Bae Kim, MD

Adult Medicine Physician in Tustin, CA · enumerated 2017.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225564818

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Registry record

Entity type Individual (Type 1)
Name Charles Chol Bae Kim
Credential MD
Sex Male
Practice address Tustin, CA, 92780
Fax (714) 486-2309
Enumeration date May 3, 2017
Last updated in NPPES Oct 13, 2021

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 54481 (AZ) Secondary
207QG0300X Geriatric Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License C-129160 (CA) Secondary
207QA0505X Adult Medicine Physician Allopathic & Osteopathic Physicians · License C129160 (CA) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Charles Chol Bae Kim?
Charles Chol Bae Kim is registered in NPPES with the primary taxonomy of Adult Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-10-13.