Myo Swe Chang, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A54869 Issued in CA

Practice address

103 Bodin Cir
BLD 778
Fairfield, CA 94535-1801

Phone

(707) 437-1817

Fax

(707) 437-1809

NPI assigned

Nov 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003899279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2359 FAIRVIEW PL",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945348631",
            "telephone_number": "707-399-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BODIN CIR",
            "address_2": "BLD 778",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945351801",
            "telephone_number": "707-437-1817",
            "fax_number": "707-437-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MYO",
        "middle_name": "SWE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suresh Chandra, OTR/L
• Ann Y. Chang, MD
• Gilbert T Chang, MD
• Henry H. Chang, MD
• Kao Yeng Chang
• Change and New Beginnings
• Cassandra Chansamorn Chanhsy
• Courtney Chaplain
• Brittany Chapman
• Ronald Chapman, MD

• Internal Medicine Physician in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Internal Medicine Physician in California

• 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.
• 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.