Active NPI
Jerry Yuchen Chang, PHARM.D.
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1679889620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61788
- Practice address
- 7900 W Sunset Blvd
Los Angeles, CA 90046-3304 - Phone
- (323) 876-4466
- NPI assigned
- Aug 28, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 61788 | CA | Primary |
Addresses
Primary practice location
7900 W Sunset Blvd
Los Angeles, CA 90046-3304
Mailing address
1431 S Marengo Ave Apt C
Alhambra, CA 91803-3266
Phone (562) 881-9697
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61788 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282953600000",
"number": "1679889620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 S MARENGO AVE APT C",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918033266",
"telephone_number": "562-881-9697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900463304",
"telephone_number": "323-876-4466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "JERRY",
"middle_name": "YUCHEN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-28",
"last_updated": "2010-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "61788",
"primary": true
}
],
"identifiers": [],
"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 Aug 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.