Carl J. Chang, M.D., Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A91493 Issued in CA

Legal business name

CARL J. CHANG, M.D., INC.

Practice address

100 N Santa Anita Ave
Arcadia, CA 91006-3108

Phone

(626) 821-5998

Fax

(626) 821-5990

NPI assigned

May 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Carl J Chang, M.D.NPI 1891983078

Title

President

Phone

(626) 821-5998

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Carl J. Chang, M.D.

  • Dermatology Physician
  • Arcadia, CA
  • NPI 1891983078
  Medicare reassignment NPD Authorized official
• Dong L Chang, M.D., INC.

  • Dermatopathology Physician
  • Arcadia, CA
  • NPI 1235136243

  Dermatology

  NPD

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1619269107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N SANTA ANITA AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063108",
            "telephone_number": "626-821-5998",
            "fax_number": "626-821-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N SANTA ANITA AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063108",
            "telephone_number": "626-821-5998",
            "fax_number": "626-821-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL J. CHANG, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-821-5998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A91493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.