Jiann E Chang M D a Professional Corporation

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

00A30510 Issued in CA

Legal business name

JIANN E CHANG M D A PROFESSIONAL CORPORATION

Practice address

801 E Mountain View St
Suite a
Barstow, CA 92311-3052

Phone

(760) 256-3508

Fax

(760) 256-3509

NPI assigned

Mar 28, 2012

Organization subpart

No

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

Authorized official

Name

Jiann E Chang, M.D.

Title

President

Phone

(760) 256-3508

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1073889556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E MOUNTAIN VIEW ST",
            "address_2": "SUITE A",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113052",
            "telephone_number": "760-256-3508",
            "fax_number": "760-256-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E MOUNTAIN VIEW ST",
            "address_2": "SUITE A",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113052",
            "telephone_number": "760-256-3508",
            "fax_number": "760-256-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIANN E CHANG M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JIANN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-256-3508",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "00A30510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saehoon Jang, D.D.S
• Tanisha Shante Jarmon Flores, LMFT
• Kyijanay Jenkins
• Jessica Basa, M.D., Inc. (Barstow Family Care)
• Jennifer Jewert, LCSW
• Samantha Jimenez Ramos
• Itxell Jimenez
• Joey S. Tirador, DDS, Inc. (ProCare Dental Group)
• Enjolii Johnson
• Kate Johnson

• Preferred Provider Organization in Barstow, CA
• Providers in Barstow, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.