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

Dr. Charles Kim, MD

Individual provider Anesthesiology Physician · NPI 1790929602

Dr. Charles Kim, MD is an Anesthesiology in Menlo Park, California. Graduated from Saint Louis University School of Medicine in 2006, 20 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Trained at
Saint Louis University School of Medicine
Licensed in
CA
In the registry since
2009
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

1422 El Camino Real
Menlo Park, CA 94025-4110
Phone: (650) 903-9500
Fax: (650) 903-9900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence A101698 (CA)

Record details

NPI number1790929602
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 22, 2009
Last updated in NPPESJune 27, 2025
Mailing address1422 El Camino Real, Menlo Park, CA 94025-4110

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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