Han Kyo K Chang, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C138034 Issued in CA

Practice address

1434 Stanley Dollar Dr
Unit 3B
Walnut Creek, CA 94595

Phone

(716) 418-4665

Fax

(925) 954-8696

NPI assigned

Oct 13, 2005

Last updated

Nov 30, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: hchang716956@direct.ochin.org

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1235127150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 STANLEY DOLLAR DR",
            "address_2": "UNIT 3B",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94595",
            "telephone_number": "716-418-4665",
            "fax_number": "925-954-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 STANLEY DOLLAR DR",
            "address_2": "UNIT 3B",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94595",
            "telephone_number": "716-418-4665",
            "fax_number": "925-954-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "HAN KYO",
        "middle_name": "K",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "125005",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C138034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "0400458",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMM BLUE/BC",
            "identifier": "5071127",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010028501",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00602837",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew H. Chang, MD
• Cecil Chang, M.D.
• Ching Hai Chang, MD
• Ching-Kuo Chang, MD
• E. Cheng-Hsin Chang, DDS
• Heidi Chang, MD
• Jane Ting Chang, PHARMD
• Judy Chang, O.D.
• Katherine Chang, NP
• Leatrice L Chang, MD

• Internal Medicine Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.