Active NPI
Aaron Chang
- Optician
- San Mateo, CA
National Provider Identifier
1306172697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 208451147
- Practice address
- 200A 2ND Ave
San Mateo, CA 94401-3904 - Phone
- (650) 685-8828
- Fax
- (650) 685-0101
- NPI assigned
- Oct 22, 2009
- Last updated
- Oct 22, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 208451147 | CA | Primary |
Addresses
Primary practice location
200A 2ND Ave
San Mateo, CA 94401-3904
Mailing address
200A 2ND Ave
San Mateo, CA 94401-3904
Phone (650) 685-8828
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
| License | State | Type | Specialty |
|---|---|---|---|
| 208451147 | CA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256169600000",
"number": "1306172697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200A 2ND AVE",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013904",
"telephone_number": "650-685-8828",
"fax_number": "650-685-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200A 2ND AVE",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013904",
"telephone_number": "650-685-8828",
"fax_number": "650-685-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "AARON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-22",
"last_updated": "2009-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "208451147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.