Pay-Jiuan Chang, D.D.D., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37398 Issued in CA

Legal business name

PAY-JIUAN CHANG, D.D.D., INC.

Practice address

1045 E. Valley Blvd.
A 207
San Gabriel, CA 91776

Phone

(626) 288-5985

Fax

(626) 288-8281

NPI assigned

Jul 31, 2014

Last updated

Jul 31, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Pay-Jiuan Chang, D.D.S.NPI 1528118064

Title

President

Phone

(626) 288-5985

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Payjiuan Chang, D.D.S

  • General Practice Dentistry
  • San Gabriel, CA
  • NPI 1528118064
  NPD (past) Authorized official

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1376951509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 E. VALLEY BLVD.",
            "address_2": "A 207",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "91776",
            "telephone_number": "626-288-5985",
            "fax_number": "626-288-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 E. VALLEY BLVD.",
            "address_2": "A 207",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "91776",
            "telephone_number": "626-288-5985",
            "fax_number": "626-288-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAY-JIUAN CHANG, D.D.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "PAY-JIUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-288-5985",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B37398-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Pan, MD
• Wen Kuei Pan, M.D.
• Yue Xing Pan, L.AC.
• Panda Home Healthcare Inc
• Paul Sucgang, D.O., Inc (Sucgang Family Medicine)
• Myah Pearl
• Peggy Y Kang, D.D.S. a Professional Dental Corporation (4 Ever Smile Dental Group)
• Yachen Terri Peng, BACB
• Ashley Pennington
• Cristina Maria Perez, LMFT

• General Practice Dentistry in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.