NPIMap

Organization Active NPI

Chang Smith Medical Associates Inc

  • Ophthalmology Physician
  • Oroville, CA
National Provider Identifier
1336172113
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A70256 Issued in CA
Legal business name
CHANG SMITH MEDICAL ASSOCIATES INC
Practice address
2809 Olive Hwy
Suite 250
Oroville, CA 95966-6131
Phone
(530) 532-7650
Fax
(530) 532-7653
NPI assigned
Jul 7, 2006
Last updated
Apr 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Jeanie Gori
Title
Office Manager
Phone
(530) 532-7650

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A71743 CA
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X A70256 CA Primary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X A68430 CA

Addresses

Primary practice location

2809 Olive Hwy
Suite 250
Oroville, CA 95966-6131

Mailing address

2809 Olive Hwy
Suite 250
Oroville, CA 95966-6131
Phone (530) 532-7650

Other identifiers 1

IdentifierTypeStateIssuer
GR0100950MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1336172113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 OLIVE HWY",
            "address_2": "SUITE 250",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959666131",
            "telephone_number": "530-532-7650",
            "fax_number": "530-532-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 OLIVE HWY",
            "address_2": "SUITE 250",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959666131",
            "telephone_number": "530-532-7650",
            "fax_number": "530-532-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANG SMITH MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "GORI",
        "authorized_official_first_name": "JEANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-532-7650"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A71743",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A70256",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A68430",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0100950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oroville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.