Active NPI
Jin Chang, LA.C
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1316244957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 12594
- Practice address
- 2270 Venice Blvd
Los Angeles, CA 90006-5115 - Phone
- (951) 616-8780
- NPI assigned
- Feb 17, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 12594 | CA | Primary |
Addresses
Primary practice location
2270 Venice Blvd
Los Angeles, CA 90006-5115
Mailing address
2270 Venice Blvd
Los Angeles, CA 90006-5115
Phone (951) 616-8780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12594 | Other | CA | ACUPUNCTURE |
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 |
|---|---|---|---|
| 12594 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304294400000",
"number": "1316244957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2270 VENICE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900065115",
"telephone_number": "951-616-8780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2270 VENICE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900065115",
"telephone_number": "951-616-8780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "JIN",
"credential": "LA.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-17",
"last_updated": "2011-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "12594",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE",
"identifier": "12594",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.