Olivia Chang, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC21267 Issued in CA

Practice address

2148 Avenida de la Playa Ste C
La Jolla, CA 92037-3216

Phone

(619) 807-1002

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Olivia Chang Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. Roy Phillips

  • Podiatrist
  • San Diego, CA
  • NPI 1033531439
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1497833370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 AVENIDA DE LA PLAYA STE C",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920373216",
            "telephone_number": "619-807-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 AVENIDA DE LA PLAYA STE C",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920373216",
            "telephone_number": "619-807-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "OLIVIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "CHANG",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Annalice Y. Chang, M.D.
• Bernard S Chang, MD
• David Y Chang, M.D.
• Henry John Chang, LAC
• Jacqueline A. Chang, M.D.
• Timothy W Chang, MD
• Wun-Ling Chang, M.D.
• Marguerite Changala, MD
• Daniel Lee Chao, M.D.
• Rambod Charepoo, M.D.

• Chiropractor in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.