Peter Y. Chang, M.D., PH.D., Inc.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

G42520 Issued in CA

Legal business name

PETER Y. CHANG, M.D., PH.D., INC.

Practice address

3975 Jackson St
Suite 102
Riverside, CA 92503-3901

Phone

(951) 359-0660

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peter Y. Chang, M.D.

Title

President

Phone

(951) 359-0660

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Zahra Jafry, MD

  • Family Medicine Physician
  • Murrieta, CA
  • NPI 1194381533

  Student in an Organized Health Care Education/Training Program

  NPD (past)
• Joy Gozum Magno, FNP

  • Primary Care Nurse Practitioner
  • Riverside, CA
  • NPI 1497217889
  NPD (past)

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1265621114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 JACKSON ST",
            "address_2": "SUITE 102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033901",
            "telephone_number": "951-359-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 JACKSON ST",
            "address_2": "SUITE 102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033901",
            "telephone_number": "951-359-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER Y. CHANG, M.D., PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-359-0660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "G42520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Persichino, D.O.
• Marlene Personett
• Pes-Ebs.Inc.
• Richard Dominic Pesavento, M.D.
• Peter P. Kim (Riverside Medical Supply, Co.)
• Brooke Marie Peterman, BA
• Jason Howard Peterman, RN
• Peters & Peters DDS
• Peters Dental Corporation (Peters Family Dentistry)
• Caroline Chinonye Peters, DNP

• Student in an Organized Health Care Education/Training Program in Riverside, CA
• Providers in Riverside, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.