Active NPI
Shang-Tian Chuang, DO
- Anatomic Pathology & Clinical Pathology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 20A8851
- Practice address
- 4060 Whittier Blvd
Los Angeles, CA 90023-2526 - Phone
- (323) 260-4184
- Fax
- (419) 866-5453
- NPI assigned
- May 24, 2007
- Last updated
- Jul 12, 2017
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | OS10083 | FL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 20A8851 | CA | Primary |
Addresses
Primary practice location
4060 Whittier Blvd
Los Angeles, CA 90023-2526
Mailing address
4060 Whittier Blvd
Los Angeles, CA 90023-2526
Phone (323) 260-4184
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278580300 | Medicaid | FL | |
| 78214 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25495 Medical Ctr Dr
Suite 204
Murrieta, CA 92562-4903
Phone (951) 698-1901
4060 E Whittier Blvd
Los Angeles, CA 90023-2526
4060 Whittier Blvd
Los Angeles, CA 90023-2526
Phone (323) 260-4184
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8851 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| OS10083 | FL | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Path MD Inc | Current | Accepting new patients | |
| Tri Valley Urology Medical Group | Current | Accepting new patients | |
| Shang-Tian Chuang, D.O., Inc. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
931 Buena Vista St
Ste 200A
Duarte, CA 91010
Phone (818) 321-2745
4060 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 224-2040
25495 Medical Center Dr
Ste 204
Murrieta, CA 92562
Phone (951) 698-1901
Organizations & group practices 4
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Los Angeles, CA
- NPI 1700225927
-
- Urology Physician
- Murrieta, CA
- NPI 1659471746
-
- Clinical Medical Laboratory
- Irvine, CA
- NPI 1124316138
-
- Anatomic Pathology & Clinical Pathology Physician
- Los Angeles, CA
- NPI 1093008104
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba East Los Angeles Doctors Hospital
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1417957473
-
dba East Los Angeles Doctors Hospital
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1720298326
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499817600000",
"number": "1598976680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 WHITTIER BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900232526",
"telephone_number": "323-260-4184",
"fax_number": "419-866-5453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 WHITTIER BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900232526",
"telephone_number": "323-260-4184",
"fax_number": "419-866-5453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUANG",
"first_name": "SHANG-TIAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2017-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "OS10083",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "20A8851",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278580300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "78214",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.