Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Chol Bae Kim, MD

Individual provider Family Medicine Physician · NPI 1225564818

Charles Chol Bae Kim, MD is a Family Practice in Tustin, California. Qualified in 1981, 45 years ago. Practices with Humane Medical Group, a 2-clinician group and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
45
Licensed in
AZ, CA
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14642 Newport Ave Ste 105
Tustin, CA 92780-6058
Phone: (714) 831-1112
Fax: (714) 486-2309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence C129160 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 54481 (AZ)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence C-129160 (CA)

Record details

NPI number1225564818
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 3, 2017
Last updated in NPPESOctober 13, 2021
Certification dateOctober 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Humane Medical Group — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Tustin