Individual provider Active NPI

James Edward Chang, LAC

  • Acupuncturist
  • Roseville, CA
National Provider Identifier
1235431982
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC5606 Issued in CA
Practice address
1891 E Roseville Pkwy Ste 170
Roseville, CA 95661-7975
Phone
(916) 572-8858
NPI assigned
Dec 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC5606 CA Primary

Addresses

Primary practice location

1891 E Roseville Pkwy Ste 170
Roseville, CA 95661-7975

Mailing address

1891 E Roseville Pkwy Ste 170
Roseville, CA 95661-7975
Phone (916) 572-8858

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

LicenseStateTypeSpecialty
AC5606CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acupuncture Heaven, Inc Acupuncturist CurrentSince Aug 28, 2021 Accepting new patients

Locations

6617 Madison Ave
Ste 1A
Carmichael, CA 95608

1891 E Roseville Pkwy
Ste 170
Roseville, CA 95661
Phone (916) 404-0886

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": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1235431982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 E ROSEVILLE PKWY STE 170",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617975",
            "telephone_number": "916-572-8858",
            "fax_number": "916-863-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 E ROSEVILLE PKWY STE 170",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617975",
            "telephone_number": "916-572-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-01",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC5606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.