Active NPI
Tiffany San Chang
- Pharmacist
- Hayward, CA
National Provider Identifier
1316402126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 81568
- Practice address
- 23958 Hesperian Blvd
Hayward, CA 94541-7241 - Phone
- (510) 786-9174
- NPI assigned
- Feb 6, 2019
- Last updated
- Dec 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Pharmacist | 183500000X | 81568 | CA | Primary |
Addresses
Primary practice location
23958 Hesperian Blvd
Hayward, CA 94541-7241
Mailing address
23958 Hesperian Blvd
Hayward, CA 94541-7241
Phone (510) 786-9174
Other practice location 1
2000 Embarcadero Ste 400
Oakland, CA 94606-5300
Phone (510) 567-8101
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 |
|---|---|---|---|
| 81568 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671926400000",
"number": "1316402126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23958 HESPERIAN BLVD",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945417241",
"telephone_number": "510-786-9174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23958 HESPERIAN BLVD",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945417241",
"telephone_number": "510-786-9174"
}
],
"practiceLocations": [
{
"address_1": "2000 Embarcadero Ste 400",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946065300",
"country_code": "US",
"telephone_number": "510-567-8101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANG",
"first_name": "TIFFANY",
"middle_name": "SAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-06",
"last_updated": "2022-12-25",
"certification_date": "2022-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "81568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.