Active NPI
Lina Jin Chang, DPT, OCS, CSCS
- Physical Therapist
- Riverside, CA
National Provider Identifier
1144258575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20101
- Practice address
- 6180 Brockton Ave
Ste. 101
Riverside, CA 92506-2228 - Phone
- (951) 781-6653
- Fax
- (951) 781-2785
- NPI assigned
- Jun 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 20101 | CA | Primary |
Addresses
Primary practice location
6180 Brockton Ave
Ste. 101
Riverside, CA 92506-2228
Mailing address
6268 Mann Ave
Mira Loma, CA 91752-2618
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20101 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144258575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6268 MANN AVE",
"city": "MIRA LOMA",
"state": "CA",
"postal_code": "917522618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6180 BROCKTON AVE",
"address_2": "STE. 101",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062228",
"telephone_number": "951-781-6653",
"fax_number": "951-781-2785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "LINA",
"middle_name": "JIN",
"credential": "DPT, OCS, CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "20101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.