Individual provider Active NPI

Tru Chang, DC

  • Internist Chiropractor
  • Merced, CA
National Provider Identifier
1790769248
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
DC27398 Issued in CA
Practice address
725 W 18TH St
2
Merced, CA 95340-4602
Phone
(209) 722-9089
Fax
(209) 722-3656
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X DC27398 CA Primary

Addresses

Primary practice location

725 W 18TH St
2
Merced, CA 95340-4602

Mailing address

700 W Olive Ave
Suite G
Merced, CA 95348-2435
Phone (209) 722-9089

Other identifiers 1

IdentifierTypeStateIssuer
SAT 6226OtherCABOARD OF CHIRO EXAMINERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051028001050 CA Practitioner - Chiropractic 6305863234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

700 W Olive Ave
Merced, CA 95348-2435
Phone (209) 722-9089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC27398CAMDInternist Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tru Chang Chiropractic Inc CurrentSince Jun 9, 2005 Accepting new patients

Locations

700 W Olive Ave
Ste A
Merced, CA 95348
Phone (209) 384-8426

700 W Olive Ave
Ste G
Merced, CA 95348
Phone (209) 383-4553

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.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1790769248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W OLIVE AVE",
            "address_2": "SUITE G",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482435",
            "telephone_number": "209-722-9089",
            "fax_number": "209-722-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W 18TH ST",
            "address_2": "2",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953404602",
            "telephone_number": "209-722-9089",
            "fax_number": "209-722-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "TRU",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "CA",
            "license": "DC27398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CHIRO EXAMINERS",
            "identifier": "SAT 6226",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.