Individual provider Active NPI

Min-Shong Chang, MD

  • Internal Medicine Physician
  • Hayward, CA
National Provider Identifier
1063479269
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A37315 Issued in CA
Practice address
27171 Calaroga Ave
Suite 14
Hayward, CA 94545-4344
Phone
(510) 782-1972
Fax
(510) 782-1973
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A37315 CA Primary

Addresses

Primary practice location

27171 Calaroga Ave
Suite 14
Hayward, CA 94545-4344

Mailing address

27171 Calaroga Ave
Suite 14
Hayward, CA 94545-4344
Phone (510) 782-1972

Other identifiers 1

IdentifierTypeStateIssuer
00A373150MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A37315CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1063479269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27171 CALAROGA AVE",
            "address_2": "SUITE 14",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454344",
            "telephone_number": "510-782-1972",
            "fax_number": "510-782-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27171 CALAROGA AVE",
            "address_2": "SUITE 14",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454344",
            "telephone_number": "510-782-1972",
            "fax_number": "510-782-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MIN-SHONG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A37315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A373150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.