NPIMap

Organization Active NPI

Chong Ching Tang Corp.

  • Health Maintenance Organization
  • Cupertino, CA
National Provider Identifier
1730627092
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
AC17135 Issued in CA
Legal business name
CHONG CHING TANG CORP.
Practice address
21700 Stevens Creek Blvd
Cupertino, CA 95014-1149
Phone
(408) 609-3391
NPI assigned
Feb 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Sheng Yung ChangNPI 1750829008
Title
Owner
Phone
(408) 609-3391

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X AC17135 CA Primary

Addresses

Primary practice location

21700 Stevens Creek Blvd
Cupertino, CA 95014-1149

Mailing address

21700 Stevens Creek Blvd
Cupertino, CA 95014-1149
Phone (408) 609-3391

National Provider Directory

National Provider Directory

Locations

21700 Stevens Creek Blvd
Cupertino, CA 95014
Phone (408) 609-3391

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1730627092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21700 STEVENS CREEK BLVD",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141149",
            "telephone_number": "408-609-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21700 STEVENS CREEK BLVD",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141149",
            "telephone_number": "408-609-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHONG CHING TANG CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SHENG YUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-609-3391"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "AC17135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.