Active NPI
Michael Tsung-Hsiang Chang, MD
- Nutritionist
- San Jose, CA
National Provider Identifier
1801202585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- A40859
- Practice address
- 4155 Moorpark Ave
Suite #7
San Jose, CA 95117-1714 - Phone
- (408) 368-7911
- NPI assigned
- Jul 2, 2014
- Last updated
- Jul 2, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | A40859 | CA | Primary |
Addresses
Primary practice location
4155 Moorpark Ave
Suite #7
San Jose, CA 95117-1714
Mailing address
4155 Moorpark Ave
Suite #7
San Jose, CA 95117-1714
Phone (408) 368-7911
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A40859 | CA | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404259200000",
"number": "1801202585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4155 MOORPARK AVE",
"address_2": "SUITE #7",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951171714",
"telephone_number": "408-368-7911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4155 MOORPARK AVE",
"address_2": "SUITE #7",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951171714",
"telephone_number": "408-368-7911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "MICHAEL",
"middle_name": "TSUNG-HSIANG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-02",
"last_updated": "2014-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "CA",
"license": "A40859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.