Active NPI
Sheng Yung Chang, L.AC
- Acupuncturist
- Cupertino, CA
National Provider Identifier
1750829008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC17135
- Practice address
- 21700 Stevens Creek Blvd
Cupertino, CA 95014-1149 - Phone
- (408) 609-3391
- NPI assigned
- Feb 7, 2017
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 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
Other names 1
- Ken Chang
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC17135 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chong Ching Tang Corp. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Maintenance Organization
- Cupertino, CA
- NPI 1730627092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503532800000",
"number": "1750829008",
"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": {
"last_name": "CHANG",
"first_name": "SHENG YUNG",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-07",
"last_updated": "2017-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC17135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KEN",
"last_name": "CHANG",
"credential": "L.AC",
"code": "5",
"type": "Other Name"
}
]
}
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 Aug 24, 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.