Sue Chang

Primary specialty

PharmacistTaxonomy code 183500000X

License

38510 Issued in CA

Practice address

1835 Newport Blvd # C
Costa Mesa, CA 92627-5031

Phone

(949) 722-1750

NPI assigned

Mar 14, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Garfield Beach CVS LLC

  • Pharmacy
  • Costa Mesa, CA
  • NPI 1851335103
  NPD (past)
• Garfield Beach CVS, L.L.C.

  • Pharmacy
  • Jurupa Valley, CA
  • NPI 1780573113
  NPD (past)

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1043713258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 FORT SUMTER",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926202530",
            "telephone_number": "714-746-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 NEWPORT BLVD # C",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926275031",
            "telephone_number": "949-722-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "38510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "N9092477",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander George Chang, DPT
• CHI Chang, OD
• Gina Chang, PH.D, BCBA-D
• Lauren Nicole Chang
• Lawrence Chang, DPM
• Changes MH LLC
• Chanook D Ahn DMD Inc.
• Ying-Ling Chao
• Charles P Steinmann MD a Medical Corporation
• Danielle Chartier

• Pharmacist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.