Organization Active NPI

Min Shong Chang MD a Professional Corporation

  • Internal Medicine Physician
  • Hayward, CA
National Provider Identifier
1790090751
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A37315 Issued in CA
Legal business name
MIN SHONG CHANG MD A PROFESSIONAL CORPORATION
Practice address
27171 Calaroga Ave
Suite 14
Hayward, CA 94545-4344
Phone
(510) 782-1972
Fax
(510) 782-1973
NPI assigned
Aug 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Authorized official

Name
Dr. Min Shong Chang, M.D.
Title
President
Phone
(510) 782-1972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A37315 CA Primary

Addresses

Primary practice location

27171 Calaroga Ave
Suite 14
Hayward, CA 94545-4344

Mailing address

27171 Calaroga Ave
Suite 14
Hayward, CA 94545-4344
Phone (510) 782-1972

National Provider Directory

National Provider Directory

Locations

27171 Calaroga Ave
Ste 14
Hayward, CA 94545
Phone (510) 782-1972

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1790090751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27171 CALAROGA AVE",
            "address_2": "SUITE 14",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454344",
            "telephone_number": "510-782-1972",
            "fax_number": "510-782-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27171 CALAROGA AVE",
            "address_2": "SUITE 14",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454344",
            "telephone_number": "510-782-1972",
            "fax_number": "510-782-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIN SHONG CHANG MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "MIN SHONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-782-1972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A37315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

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

Verify at the official NPI Registry.