Active NPI
Dong L Chang M.D., Inc.
- Dermatopathology Physician
- Arcadia, CA
National Provider Identifier
1245479385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- A33186A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A33186A | CA | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | A33186A | CA | |
| Dermatopathology Physician | 207ND0900X | A33186A | CA | Primary |
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | A33186A | CA | |
| Pediatric Dermatology Physician | 207NP0225X | A33186A | CA | |
| Procedural Dermatology Physician | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Arcadia, CA
- NPI 1891983078
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.