Active NPI
Kim James Charney, M.D.
- Surgery Physician
- Orange, CA
National Provider Identifier
1699790899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A24258
- Practice address
- 1140 W la Veta Ave
Suite 620
Orange, CA 92868-4223 - Phone
- (714) 550-0600
- Fax
- (714) 550-9307
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A24258 | CA | Primary |
| Vascular Surgery Physician | 2086S0129X | A24258 | CA | |
| Surgical Oncology Physician | 2086X0206X | A24258 | CA |
Addresses
Primary practice location
1140 W la Veta Ave
Suite 620
Orange, CA 92868-4223
Mailing address
1140 W la Veta Ave
Suite 620
Orange, CA 92868-4223
Phone (714) 550-0600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A24258 | CA | MD | Surgical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1699790899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 W LA VETA AVE",
"address_2": "SUITE 620",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684223",
"telephone_number": "714-550-0600",
"fax_number": "714-550-9307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 W LA VETA AVE",
"address_2": "SUITE 620",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684223",
"telephone_number": "714-550-0600",
"fax_number": "714-550-9307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARNEY",
"first_name": "KIM",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A24258",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "A24258",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "CA",
"license": "A24258",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.