Jamie Chang, RN
Individual provider Active NPI Registered Nurse · Saratoga, CA
NPI 1063239663 · NPPES record last updated Sep 24, 2024
Key facts
- NPI
- 1063239663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 439358 (CA)
- Practice address
- 12777 Picea CT
Saratoga, CA 95070-6548 - Phone
- (408) 806-8885
- NPI assigned
- Sep 24, 2024
- 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)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 439358 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 439358 | CA | Yes |
Addresses
Primary practice location
12777 Picea CT
Saratoga, CA 95070-6548
Mailing address
12777 Picea CT
Saratoga, CA 95070-6548
Other providers in Saratoga, CA
- Susan Casner-Kay
- Jack Fong Chan Jr.
- Yimming Chan
- Chen CHI Chang
- David Lee-Hun Chang
- Jui-Li Chang
- Wilbur Chang
- Yaowen Chang
- Chelamkuri Professional Corporation
- Guang Yue Chen
All providers in Saratoga, CA · Registered Nurse 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, 2024. 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.