Christine K Chang, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

20691 Issued in CA

Practice address

500 W Central Ave Ste B
Brea, CA 92821-3036

Phone

(714) 529-5022

NPI assigned

Sep 12, 2018

Reactivated

Mar 18, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1629551916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ALEVERA ST",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W CENTRAL AVE STE B",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213036",
            "telephone_number": "714-529-5022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1721 Griffin Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900313312",
            "country_code": "US",
            "telephone_number": "323-221-4134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "CHRISTINE",
        "middle_name": "K",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "deactivation_date": "2020-03-04",
        "reactivation_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "20691",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Skills Development LLC
• Monica Cervantes, LCSW
• Matthew Chai
• Janine Jo Chamberlin, M.D.
• Dennis Ken Chan, D.S.S.
• Doo Chang, PHARM D
• Lillian L Chang, LMFT
• Garn Chanjamsri, PHARMD
• Taylor Lee Chappell
• Arthur David Charap, PH,D., M.D.

• Pediatric Occupational Therapist in Brea, CA
• Providers in Brea, CA by specialty
• Pediatric Occupational Therapist in California

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

Verify at the official NPI Registry.