Active NPI
Sally Malia Chang, M.D.
- Internal Medicine Physician
- Kailua, HI
National Provider Identifier
1528041621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 7494
- Practice address
- 407 Uluniu St Ste 313
Kailua, HI 96734-2544 - Phone
- (808) 261-3364
- Fax
- (808) 261-0734
- NPI assigned
- Nov 22, 2005
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 7494 | HI | Primary |
Addresses
Primary practice location
407 Uluniu St Ste 313
Kailua, HI 96734-2544
Mailing address
40 Aulike St. Ste. 411
Kailua, HI 96734
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7494 | HI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528041621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 AULIKE ST. STE. 411",
"city": "KAILUA",
"state": "HI",
"postal_code": "96734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 ULUNIU ST STE 313",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342544",
"telephone_number": "808-261-3364",
"fax_number": "808-261-0734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "SALLY",
"middle_name": "MALIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "7494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kailua, HI
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.