Alice Chiang, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A65091 Issued in CA

Practice address

1002 Mendocino Ave
Santa Rosa, CA 95401-4330

Phone

(707) 528-7817

Fax

(707) 528-1699

NPI assigned

Jun 17, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Artemedica

  • Specialist
  • Santa Rosa, CA
  • NPI 1235426982
  NPD (past)
• R. David Jones, O.D.

  • Optometrist
  • Santa Rosa, CA
  • NPI 1376771808
  NPD (past)
• Tiffany Moore, O.D. Inc, a Professional Optometric Corporation

  • Optometrist
  • Santa Rosa, CA
  • NPI 1578090981
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1003851809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 MENDOCINO AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014330",
            "telephone_number": "707-528-7817",
            "fax_number": "707-528-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 MENDOCINO AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014330",
            "telephone_number": "707-528-7817",
            "fax_number": "707-528-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIANG",
        "first_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A65091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A650910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric L Cheung, M.D.
• Luna Cheung
• Michael D Chevlen, CRNA
• Amy Herrema Chevrolet, LCSW
• Fangyu CHI, FNP
• Wesley Min-Da Chiang, D.M.D.
• Charles Andrew Chiarodit, MA
• Brenda Verenise Chicas, FNP
• Kayleigh Chicas
• Chico Feminist Women'S Health Center

• Ophthalmology Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.