Organization Active NPI

Dong L Chang M.D., Inc.

  • Dermatopathology Physician
  • Arcadia, CA
National Provider Identifier
1245479385
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
A33186A Issued in CA
Legal business name
DONG L CHANG M.D., INC.
Practice address
100 N Santa Anita Ave
Arcadia, CA 91006-3108
Phone
(626) 821-5998
Fax
(626) 821-5990
NPI assigned
Feb 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Dr. Dong Liang Chang, M.D., INC.
Title
M.D.
Phone
(626) 821-5998

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X A33186A CA
MOHS-Micrographic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0101X A33186A CA
Dermatopathology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0900X A33186A CA Primary
Clinical & Laboratory Dermatological Immunology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207NI0002X A33186A CA
Pediatric Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207NP0225X A33186A CA
Procedural Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207NS0135X A33186A CA

Addresses

Primary practice location

100 N Santa Anita Ave
Arcadia, CA 91006-3108

Mailing address

100 N Santa Anita Ave
Arcadia, CA 91006-3108
Phone (626) 821-5998

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1245479385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N SANTA ANITA AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063108",
            "telephone_number": "626-821-5998",
            "fax_number": "626-821-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N SANTA ANITA AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063108",
            "telephone_number": "626-821-5998",
            "fax_number": "626-821-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONG L CHANG M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "DONG",
        "authorized_official_middle_name": "LIANG",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "626-821-5998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., INC."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A33186A",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A33186A",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A33186A",
            "primary": true
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "CA",
            "license": "A33186A",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "CA",
            "license": "A33186A",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A33186A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.