Grace Jeanee Chang, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

34201 Issued in CA

Practice address

2270 Pickwick PL
Fullerton, CA 92833-4804

Phone

(714) 401-1803

NPI assigned

Aug 16, 2012

Last updated

May 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1023366424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 PICKWICK PL",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334804",
            "telephone_number": "714-401-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 PICKWICK PL",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334804",
            "telephone_number": "714-401-1803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Youth Way",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928353819",
            "country_code": "US",
            "telephone_number": "714-401-1803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "GRACE",
        "middle_name": "JEANEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34201",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnold Chang
• Bing-Lo Chang, M.D.
• Cameron Chang, OTD, OTR/L
• Cheyenne L Chang, PHARMD, RPH
• Diana Chang, NP
• Hye Kyung Chang
• Jeremy J Chang
• Jessica Chang
• Jueiyu Chang
• Jyh-Han Chang, OD

• Chiropractor in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.