Chang Hyun Oh, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A37083 Issued in CA

Practice address

28991 Old Town Front St
Suite #202
Temecula, CA 92590-5803

Phone

(951) 693-5001

Fax

(951) 694-0249

NPI assigned

Dec 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Jey Promed Corporation

  • Urgent Care Clinic/Center
  • Buena Park, CA
  • NPI 1114798170
  Medicare reassignment NPD
• Hanmaum Medical Center

  • Multi-Specialty Clinic/Center
  • Laguna Woods, CA
  • NPI 1912883315
  Medicare reassignment
• Livingwater's Medical Clinic, Inc.

  • Family Medicine Physician
  • Hemet, CA
  • NPI 1073041851
  NPD (past)
• Wonsock Shin MD LLC

  • Internal Medicine Physician
  • Vienna, VA
  • NPI 1972599249
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477613941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28991 OLD TOWN FRONT ST",
            "address_2": "SUITE #202",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905803",
            "telephone_number": "951-693-5001",
            "fax_number": "951-694-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28991 OLD TOWN FRONT ST",
            "address_2": "SUITE #202",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905803",
            "telephone_number": "951-693-5001",
            "fax_number": "951-694-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "CHANG",
        "middle_name": "HYUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A37083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeria Ochoa
• Genesis Oconnell
• Ibironke Odubela-Hines
• Ken Samith Oerding, N.P.
• Alycea Oglesby
• Diane Oh, PHARMD
• Henry Akemi Oishi, O.D.
• Yolanda Ojeda
• Jennifer Okada
• William C Okerblom, DO (2023)

• Family Medicine Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.