Active NPI
Christina Chang-Lyn Chow, DO
- Pediatrics Physician
- San Leandro, CA
National Provider Identifier
1407954902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20A7929
- Practice address
- 3081 Teagarden St
San Leandro, CA 94577-5720 - Phone
- (510) 347-4620
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20A7929 | CA | Primary |
Addresses
Primary practice location
3081 Teagarden St
San Leandro, CA 94577-5720
Mailing address
PO Box 393
Palo Alto, CA 94302-0393
Phone (510) 936-1804
Other names 1
- Christina Tanguay
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7929 | CA | MD | Acupuncturist |
| 20A7929 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Monterey County Memorial Hospital | Current | Accepting new patients | |
| Southern Monterey County Memorial Hospital | Current | Accepting new patients | |
| Mark Twain Health Care District | Past | Accepting new patients | |
| Mark Twain Medical Center | Past | Accepting new patients |
Locations
210 Canal St
King City, CA 93930
Phone (931) 385-7100
300 Canal St
King City, CA 93930
Phone (831) 385-6000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JDEGCD
- christina.chow.1@19210.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Critical Access Hospital
- King City, CA
- NPI 1114917564
-
- Clinic/Center
- King City, CA
- NPI 1336389600
-
- Rural Health Clinic/Center
- Valley Springs, CA
- NPI 1306311329
-
- Critical Access Hospital
- San Andreas, CA
- NPI 1508968819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1407954902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 393",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943020393",
"telephone_number": "510-936-1804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3081 TEAGARDEN ST",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945775720",
"telephone_number": "510-347-4620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOW",
"first_name": "CHRISTINA",
"middle_name": "CHANG-LYN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "20A7929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "TANGUAY",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.