Kenneth H Chang MD a Medical Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A55424 Issued in CA

Legal business name

KENNETH H CHANG MD A MEDICAL CORP

Practice address

728 Pacific Ave
Suite 402
San Francisco, CA 94133-4457

Phone

(415) 421-4525

Fax

(415) 421-4527

NPI assigned

Aug 26, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth H Chang, MDNPI 1609832724

Title

Owner

Phone

(415) 421-4525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth H Chang, MD

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1609832724
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1447530076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 PACIFIC AVE",
            "address_2": "SUITE 402",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334457",
            "telephone_number": "415-421-4525",
            "fax_number": "415-421-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 PACIFIC AVE",
            "address_2": "SUITE 402",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334457",
            "telephone_number": "415-421-4525",
            "fax_number": "415-421-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH H CHANG MD A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-421-4525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A55424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Simon Kenner, PHD
• Kenneth Braslow MD a PC
• Kenneth D Chan MD Inc
• Kenneth D. Laxer, M.D., Inc
• Kenneth F. Binmoeller, MD Inc
• Kenneth I Light MD Inc
• Kenneth I. Gottlieb, M.D. a Professional Corporation
• Kenneth Karamyan DDS Inc
• Kenneth S. Yamamoto, M.D.
• Mark Gabriel Kenney, LMFT# 146923

• Internal Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.