Active NPI
Sherry Chang, PA-C
- Physician Assistant
- Hayward, CA
National Provider Identifier
1427382845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 20315
- Practice address
- 1866 B St
Hayward, CA 94541-3139 - Phone
- (510) 733-1819
- Fax
- (510) 537-6024
- NPI assigned
- Oct 1, 2009
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 20315 | CA | Primary |
Addresses
Primary practice location
1866 B St
Hayward, CA 94541-3139
Mailing address
917 San Ramon Valley Blvd
Ste. 195
Danville, CA 94526-4005
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 |
|---|---|---|---|
| 20315 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254355200000",
"number": "1427382845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 SAN RAMON VALLEY BLVD",
"address_2": "STE. 195",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945264005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1866 B ST",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945413139",
"telephone_number": "510-733-1819",
"fax_number": "510-537-6024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "SHERRY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-01",
"last_updated": "2009-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "20315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.