Active NPI
Sandra Chang, D.D.S.
- Dentist
- South San Francisco, CA
National Provider Identifier
1548475502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 41167
- Practice address
- 1405 Huntington Ave
Suite 213
South San Francisco, CA 94080-5988 - Phone
- (650) 588-5822
- NPI assigned
- May 13, 2007
- Last updated
- Dec 1, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 41167 | CA | Primary |
Addresses
Primary practice location
1405 Huntington Ave
Suite 213
South San Francisco, CA 94080-5988
Mailing address
1405 Huntington Ave
Suite 213
South San Francisco, CA 94080-5988
Phone (650) 588-5822
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1548475502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 HUNTINGTON AVE",
"address_2": "SUITE 213",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940805988",
"telephone_number": "650-588-5822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 HUNTINGTON AVE",
"address_2": "SUITE 213",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940805988",
"telephone_number": "650-588-5822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "SANDRA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-13",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "41167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.