Individual provider Active NPI

Matthew Nicholas Chang, D.C.

  • Chiropractor
  • Laguna Hills, CA
National Provider Identifier
1518293604
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30987 Issued in CA
Practice address
25283 Cabot Rd Ste 109
Laguna Hills, CA 92653
Phone
(626) 838-8938
NPI assigned
Oct 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 30987 CA Primary

Addresses

Primary practice location

25283 Cabot Rd Ste 109
Laguna Hills, CA 92653

Mailing address

25283 Cabot Rd Ste 109
Laguna Hills, CA 92653-5509
Phone (626) 838-8938

Other practice location 1

670 Monterey Pass Rd
Suite 100
Monterey Park, CA 91754-2436
Phone (626) 551-5155

Other practice location 2

25283 Cabot Rd Ste 109
Laguna Hills, CA 92653-5509
Phone (626) 838-8938

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

LicenseStateTypeSpecialty
30987CAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1518293604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25283 CABOT RD STE 109",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535509",
            "telephone_number": "626-838-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25283 CABOT RD STE 109",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "626-838-8938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 Monterey Pass Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Monterey Park",
            "state": "CA",
            "postal_code": "917542436",
            "country_code": "US",
            "telephone_number": "626-551-5155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25283 Cabot Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926535509",
            "country_code": "US",
            "telephone_number": "626-838-8938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MATTHEW",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-23",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.