{"npi":"1225564818","type":"NPI-1","status":"active","name":{"display":"Charles Chol Bae Kim MD","other":[],"first":"CHARLES CHOL BAE","last":"KIM","credential":"MD"},"specialty":{"primary_taxonomy":"207QA0505X","primary_taxonomy_description":"Adult Medicine Physician","slug":"adult-medicine-physician","schema_org_specialty":null,"all":[{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"AZ","license":"54481"},{"code":"207QG0300X","description":"Family Medicine, Geriatric Medicine","primary":false,"state":"CA","license":"C-129160"},{"code":"207QA0505X","description":"Adult Medicine Physician","primary":true,"state":"CA","license":"C129160"}]},"addresses":[{"purpose":"LOCATION","street_1":"14642 NEWPORT AVE STE 105","city":"TUSTIN","state":"CA","postal_code":"927806058","country_code":"US","phone":"7148311112","fax":"7144862309"},{"purpose":"MAILING","street_1":"1200 W MOHAVE RD","city":"PARKER","state":"AZ","postal_code":"853446349","country_code":"US","phone":"9286697380"}],"license":{"state":"CA","number":"C129160"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20171031002424","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"CA","pac_id":"8921374232"},{"enrlmt_id":"I20201207002894","type_code":"14-02","type_desc":"PRACTITIONER - GENERAL SURGERY","state":"AZ","pac_id":"8921374232"}]},"enumeration_date":"2017-05-03","last_updated":"2021-10-13","_meta":{"source":"NPPES","snapshot_date":"2021-10-13","doc_url":"https://findmynpi.com/api"}}