Active NPI
Christine Chang, LAC.
- Acupuncturist
- San Mateo, CA
National Provider Identifier
1558812180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC17051
- Practice address
- 1720 S Amphlett Blvd
#168
San Mateo, CA 94402-2702 - Phone
- (650) 572-1628
- NPI assigned
- Oct 19, 2016
- Last updated
- Oct 19, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | ND 788 | CA | |
| Acupuncturist | 171100000X | AC17051 | CA | Primary |
Addresses
Primary practice location
1720 S Amphlett Blvd
#168
San Mateo, CA 94402-2702
Mailing address
105 Alta Loma Dr Apt 2
South San Francisco, CA 94080-3183
Phone (858) 361-8158
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC17051 | CA | MD | Acupuncturist |
| ND 788 | CA | MD | Naturopath |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Naturopath
- Foster City, CA
- NPI 1639602782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1558812180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 ALTA LOMA DR APT 2",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940803183",
"telephone_number": "858-361-8158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 S AMPHLETT BLVD",
"address_2": "#168",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944022702",
"telephone_number": "650-572-1628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "CHRISTINE",
"credential": "LAC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-19",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND 788",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC17051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.