Individual provider Active NPI

Ying-Yi Chang, D.D.S., M.S.

  • Periodontics
  • San Gabriel, CA
National Provider Identifier
1659406007
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
45835 Issued in CA
Practice address
288 S San Gabriel Blvd Ste 205
San Gabriel, CA 91776-1668
Phone
(626) 285-6968
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 45835 CA Primary

Addresses

Primary practice location

288 S San Gabriel Blvd Ste 205
San Gabriel, CA 91776-1668

Mailing address

288 S San Gabriel Blvd
#205
San Gabriel, CA 91776-1667
Phone (626) 285-6968

Other names 1

  • Dr. Christine Chang Professional name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
45835CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1659406007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 S SAN GABRIEL BLVD",
            "address_2": "#205",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761667",
            "telephone_number": "626-285-6968",
            "fax_number": "626-285-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 S SAN GABRIEL BLVD STE 205",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761668",
            "telephone_number": "626-285-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "YING-YI",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "45835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "CHANG",
            "prefix": "DR.",
            "credential": "D.D.S., M.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.