Organization Active NPI

Chang Wholistic Clinic

  • Acupuncturist
  • Oxnard, CA
National Provider Identifier
1811138027
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC9892 Issued in CA
Legal business name
CHANG WHOLISTIC CLINIC
Practice address
445 W 5TH Street
Oxnard, CA 93030-7059
Phone
(805) 486-3494
Fax
(805) 487-1605
NPI assigned
Mar 18, 2009
Last updated
Mar 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Authorized official

Name
Lily Chang
Title
President
Phone
(805) 486-3494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC9892 CA Primary

Addresses

Primary practice location

445 W 5TH Street
Oxnard, CA 93030-7059

Mailing address

445 W 5TH St
Oxnard, CA 93030-7059
Phone (805) 486-3494

Other identifiers 1

IdentifierTypeStateIssuer
1801092622OtherCAINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1811138027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 W 5TH ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307059",
            "telephone_number": "805-486-3494",
            "fax_number": "805-487-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 W 5TH STREET",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307059",
            "telephone_number": "805-486-3494",
            "fax_number": "805-487-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANG WHOLISTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-486-3494"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1801092622",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.