Ker-Chow Chang, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A48893 Issued in CA

Practice address

1480 S Harbor Blvd Ste 1
La Habra, CA 90631-7506

Phone

(714) 255-1148

NPI assigned

Oct 2, 2006

Last updated

Apr 15, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• First Fountains Medical Center Inc

  • Family Medicine Physician
  • West Covina, CA
  • NPI 1972697100
  Authorized official Same address or phone
• First Fountains Medical Center Inc.

  • Family Medicine Physician
  • La Habra, CA
  • NPI 1043304025
  Authorized official Same address or phone
• Ahmc Garfield Medical Center LP

  dba Garfield Medical Center

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1730171265
  NPD (past)
• Ahmc Whittier Hospital Medical Center LP

  dba Whittier Hospital Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Whittier, CA
  • NPI 1497855605
  NPD (past)
• Caremore Medical Group Inc

  • Family Medicine Physician
  • Cerritos, CA
  • NPI 1760435705
  NPD (past)
• Medipath Health Care Inc

  • Family Medicine Physician
  • Placentia, CA
  • NPI 1790950905
  NPD (past)
• Orange Coast Memorial Medical Center

  • General Acute Care Hospital
  • Fountain Valley, CA
  • NPI 1497702575
  NPD (past)
• St Jude Hospital Inc

  dba Providence St. Jude Medical Center

  • General Acute Care Hospital
  • Fullerton, CA
  • NPI 1194926279
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523750400000",
    "number": "1346333648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 E VALLEY BLVD STE 103",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923196",
            "telephone_number": "626-810-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 S HARBOR BLVD STE 1",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906317506",
            "telephone_number": "714-255-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "KER-CHOW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A48893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "A48893",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soo Jin Cha, O.D.
• Arthur Chan, L.AC., R.PH.
• Peggy Chan
• Chanchal Dewan, MD.,F.a.a.P.,Inc.
• Harrison Hoon Chang, DDS
• Janice Chao, PHARMD
• Lonnie Chatman, P.A.
• Chattykiddo Pediatric Therapy a Speech Pathologist Corporation (ChattyKiddo Pediatric Therapy)
• Tina Chau, O.D.
• Alexander Chavez, COTA

• Family Medicine Physician in La Habra, CA
• Providers in La Habra, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.