Individual provider Active NPI

Hsing Wen Chang, OT

  • Pediatric Occupational Therapist
  • Diamond Bar, CA
National Provider Identifier
1114485133
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
17255 Issued in CA
Practice address
706 N Diamond Bar Blvd Ste B2
Diamond Bar, CA 91765-1059
Phone
(909) 396-8900
Fax
(909) 396-9900
NPI assigned
Mar 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 17255 CA Primary

Addresses

Primary practice location

706 N Diamond Bar Blvd Ste B2
Diamond Bar, CA 91765-1059

Mailing address

706 N Diamond Bar Blvd Ste B2
Diamond Bar, CA 91765-1059
Phone (909) 396-8900

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

State licenses

LicenseStateTypeSpecialty
17255CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pristine Rehabcare, Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1114485133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 N DIAMOND BAR BLVD STE B2",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651059",
            "telephone_number": "909-396-8900",
            "fax_number": "909-396-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 N DIAMOND BAR BLVD STE B2",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651059",
            "telephone_number": "909-396-8900",
            "fax_number": "909-396-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "HSING WEN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "17255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.