Organization Active NPI

Clifford Karl Chang OD Inc.

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1558536482
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4071 Issued in CA
Legal business name
CLIFFORD KARL CHANG OD INC.
Practice address
929 Clay St
203
San Francisco, CA 94108-1556
Phone
(415) 982-1700
Fax
(415) 982-1750
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Dr. Bradford Karl Chang, O.D.NPI 1770658619
Title
Optometrist
Phone
(415) 982-1700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4071 CA Primary

Addresses

Primary practice location

929 Clay St
203
San Francisco, CA 94108-1556

Mailing address

929 Clay St
203
San Francisco, CA 94108-1556
Phone (415) 982-1700

Other identifiers 1

IdentifierTypeStateIssuer
1558536482OtherCANPI NUMBER

National Provider Directory

National Provider Directory

Locations

929 Clay St
Ste 203
San Francisco, CA 94108
Phone (415) 982-1700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1558536482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 CLAY ST",
            "address_2": "203",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081556",
            "telephone_number": "415-982-1700",
            "fax_number": "415-982-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 CLAY ST",
            "address_2": "203",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081556",
            "telephone_number": "415-982-1700",
            "fax_number": "415-982-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD KARL CHANG OD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "415-982-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "4071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1558536482",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.