NPIMap

Organization Active NPI

Changa LLC

Doing business as Monarch Medical

  • Family Medicine Physician
  • Federal Way, WA
National Provider Identifier
1215658380
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHANGA LLC
Doing business as
Monarch Medical
Practice address
33710 9TH Ave S Ste 7
Federal Way, WA 98003-6734
Phone
(253) 517-7058
NPI assigned
Sep 7, 2022
Last updated
Oct 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Richard Enniss Hanson Jr., PANPI 1134117153
Title
Owner
Phone
(405) 640-9005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

33710 9TH Ave S Ste 7
Federal Way, WA 98003-6734

Mailing address

33710 9TH Ave S Ste 7
Federal Way, WA 98003-6734
Phone (253) 517-7058

Other names 1

  • Monarch Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230301000521 WA Part B Supplier - Clinic/Group Practice 2860865417 Receives reassigned benefits from 3 practitioners
Practice locations: Federal Way, WA

National Provider Directory

National Provider Directory

Locations

33710 9th Ave S
Ste 7
Federal Way, WA 98003
Phone (253) 517-7058

33720 9th Ave S
Ste 12
Federal Way, WA 98003

34716 1st Ave S
Federal Way, WA 98003
Phone (253) 517-7058

34716 1st Ave S
Ste A
Federal Way, WA 98003
Phone (253) 517-7058

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1215658380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33710 9TH AVE S STE 7",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036734",
            "telephone_number": "253-517-7058",
            "fax_number": "253-517-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33710 9TH AVE S STE 7",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036734",
            "telephone_number": "253-517-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ENNISS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-640-9005",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monarch Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.