Active NPI
Charlton Kim, M.D.
- Nephrology Physician
- Los Angeles, CA
National Provider Identifier
1942428271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A89367
- Practice address
- 8635 W 3Rd St
#490W
Los Angeles, CA 90048-6101 - Phone
- (310) 423-2420
- NPI assigned
- Apr 23, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | A89367 | CA | Primary |
Addresses
Primary practice location
8635 W 3Rd St
#490W
Los Angeles, CA 90048-6101
Mailing address
606 Levering Ave
#313
Los Angeles, CA 90024-2365
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 |
|---|---|---|---|
| 89367 | CA | MD | Pharmacist |
| A89367 | CA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Health Integrative Strategies | Nephrology | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nephrology Physician
- Pasadena, CA
- NPI 1942849328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942428271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 LEVERING AVE",
"address_2": "#313",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900242365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8635 W 3RD ST",
"address_2": "#490W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486101",
"telephone_number": "310-423-2420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CHARLTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A89367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.