Angela a Chang MD a Professional Corporation

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

ANGELA A CHANG MD A PROFESSIONAL CORPORATION

Practice address

9834 Genesee Ave Ste 112
La Jolla, CA 92037-1214

Phone

(858) 208-0030

Fax

(858) 216-1990

NPI assigned

Feb 25, 2020

Last updated

Apr 6, 2020By 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

Dr. Angela Chang, MDNPI 1730382318

Title

President

Phone

(619) 947-5555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Angela An-CHI Chang, M.D.

  • Otolaryngology Physician
  • La Jolla, CA
  • NPI 1730382318
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1427682764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13282 COURTLAND TER",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921301823",
            "telephone_number": "619-947-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE STE 112",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371214",
            "telephone_number": "858-208-0030",
            "fax_number": "858-216-1990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13282 Courtland Ter",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921301823",
            "country_code": "US",
            "telephone_number": "619-947-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANGELA A CHANG MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-947-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Bradley Andrews
• Jeffrey W. Andrey, M.D.
• Andrus Chiropractic Group, Inc.
• John P Andrus, D.C.
• James Phillip Andry, MD, MS, BS
• Angela B. Nahl, M.D., Inc. (La Jolla LASIK)
• Marissa Angelich
• Joseph Angleitner, D.C.
• Holly Louise Anguiano, LCSW
• Claire Anspach, RD

• Otolaryngology Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.