NPIMap

Individual provider Active NPI

Jensen Chia-Chen Chang, PHARM.D.

  • Pharmacist
  • Burbank, CA
National Provider Identifier
1407922925
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH 48332 Issued in CA
Practice address
3000 N Hollywood Way Ste 103
Burbank, CA 91505-1026
Phone
(818) 736-5828
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH 48332 CA Primary

Addresses

Primary practice location

3000 N Hollywood Way Ste 103
Burbank, CA 91505-1026

Mailing address

3000 N Hollywood Way Ste 103
Burbank, CA 91505-1026
Phone (818) 736-5828

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH 48332CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bodystore Inc Current Accepting new patients
Hospicare Pharmacy Inland Empire Current Accepting new patients
Hospice PBM Inc Current Accepting new patients

Locations

3000 N Hollywood Way
Ste 103
Burbank, CA 91505
Phone (818) 736-5828

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1407922925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N HOLLYWOOD WAY STE 103",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051026",
            "telephone_number": "818-736-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HOLLYWOOD WAY STE 103",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051026",
            "telephone_number": "818-736-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JENSEN",
        "middle_name": "CHIA-CHEN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 48332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.