Active NPI
Yufang Jennifer Chang, M.D.
- Psychiatry Physician
- San Diego, CA
National Provider Identifier
1093918807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A119710
- Practice address
- 302 Washington St # 946
San Diego, CA 92103-2110 - Phone
- (619) 940-4407
- Fax
- (619) 719-5531
- NPI assigned
- Jun 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M9206 | TX | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | A119710 | CA | |
| Forensic Psychiatry Physician | 2084F0202X | A119710 | CA | |
| Psychiatry Physician | 2084P0800X | A119710 | CA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | M9206 | TX | |
| Forensic Psychiatry Physician | 2084F0202X | M9206 | TX |
Addresses
Primary practice location
302 Washington St # 946
San Diego, CA 92103-2110
Mailing address
302 Washington St # 946
San Diego, CA 92103-2110
Phone (619) 940-4407
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
| License | State | Type | Specialty |
|---|---|---|---|
| A119710 | CA | MD | Forensic Psychiatry Physician |
| M9206 | TX | MD | Forensic Psychiatry Physician |
Interoperability endpoints
- ychang62086@santaclaravalley.direct-ci.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412121600000",
"number": "1093918807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 WASHINGTON ST # 946",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032110",
"telephone_number": "619-940-4407",
"fax_number": "619-719-5531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 WASHINGTON ST # 946",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032110",
"telephone_number": "619-940-4407",
"fax_number": "619-719-5531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "YUFANG",
"middle_name": "JENNIFER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2014-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "M9206",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A119710",
"primary": false
},
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "CA",
"license": "A119710",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A119710",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "M9206",
"primary": false
},
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "TX",
"license": "M9206",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.