Active NPI
Ricardo Inguel Chang, MFT
- Marriage & Family Therapist
- Santa Fe Springs, CA
National Provider Identifier
1366608432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 51580
- Practice address
- 11731 Telegraph Rd
Ste. E
Santa Fe Springs, CA 90670-3675 - Phone
- (562) 942-8256
- NPI assigned
- Jul 29, 2008
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 51580 | CA | Primary |
Addresses
Primary practice location
11731 Telegraph Rd
Ste. E
Santa Fe Springs, CA 90670-3675
Mailing address
4201 Via Marisol
#337
Los Angeles, CA 90042-5068
Phone (213) 219-9814
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 |
|---|---|---|---|
| 51580 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1366608432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 VIA MARISOL",
"address_2": "#337",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900425068",
"telephone_number": "213-219-9814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11731 TELEGRAPH RD",
"address_2": "STE. E",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906703675",
"telephone_number": "562-942-8256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "RICARDO",
"middle_name": "INGUEL",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-29",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "51580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.