Active NPI
Daniel Chang, D.C.
- Chiropractor
- Pasadena, CA
National Provider Identifier
1528299450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC31202
- Practice address
- 107 S Fair Oaks Ave
Suite 020
Pasadena, CA 91105-2010 - Phone
- (626) 365-7187
- NPI assigned
- Jul 27, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC31202 | CA | Primary |
Addresses
Primary practice location
107 S Fair Oaks Ave
Suite 020
Pasadena, CA 91105-2010
Mailing address
107 S Fair Oaks Ave
Suite 020
Pasadena, CA 91105-2010
Phone (626) 365-7187
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130320000725 | CA | Practitioner - Chiropractic | 5597900639 | Practice locations: Pasadena, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
107 S Fair Oaks Ave
BSMT 20
Pasadena, CA 91105-2086
Phone (626) 365-7187
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31202 | CA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479600000000",
"number": "1528299450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 S FAIR OAKS AVE",
"address_2": "SUITE 020",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052010",
"telephone_number": "626-365-7187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 S FAIR OAKS AVE",
"address_2": "SUITE 020",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052010",
"telephone_number": "626-365-7187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-27",
"last_updated": "2016-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC31202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.