Shuinn Chang, NP
Individual provider Active NPI Nurse Practitioner · Oakley, CA
NPI 1003249244 · NPPES record last updated Sep 24, 2013
Key facts
- NPI
- 1003249244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 23680 (CA)
- Practice address
- 2021 Main St
Oakley, CA 94561-3302 - Phone
- (925) 776-8200
- Fax
- (510) 535-4225
- NPI assigned
- Aug 12, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 843213 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 843213 | CA | |
| Nurse Practitioner | 363L00000X | 23680 | CA | Yes |
Addresses
Primary practice location
2021 Main St
Oakley, CA 94561-3302
Mailing address
PO Box 22210
Oakland, CA 94623-2210
Phone (510) 535-4000
Other providers in Oakley, CA
- Sharon L Carle
- Zoey Louise Carpenter
- Shirley Carrillo
- Deborah Ann Cavallaro
- Crystal Chan
- Child Haven
- Jahzailah Anastasia Colston
- Ginger Conrad
- Jada Cooks
- Richard Anthony Correa
All providers in Oakley, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.