Individual provider Active NPI

Kuo Hsien Chang, MD

  • Internal Medicine Physician
  • Rowland Heights, CA
National Provider Identifier
1851392922
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A63473 Issued in CA
Practice address
18391 Colima Rd
Suite 202
Rowland Heights, CA 91748-2730
Phone
(626) 965-0696
Fax
(626) 965-0265
NPI assigned
Aug 10, 2005
Last updated
Nov 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A63473 CA Primary

Addresses

Primary practice location

18391 Colima Rd
Suite 202
Rowland Heights, CA 91748-2730

Mailing address

18391 Colima Rd
Suite 202
Rowland Heights, CA 91748-2730
Phone (626) 965-0696

Other identifiers 1

IdentifierTypeStateIssuer
00A634730MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63473CAMDDentist
A63473CAMDInternal Medicine Physician

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1851392922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18391 COLIMA RD",
            "address_2": "SUITE 202",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482730",
            "telephone_number": "626-965-0696",
            "fax_number": "626-965-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18391 COLIMA RD",
            "address_2": "SUITE 202",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482730",
            "telephone_number": "626-965-0696",
            "fax_number": "626-965-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "KUO HSIEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A634730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowland Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.