Active NPI
Terrance T Chang
- Allergy & Immunology Physician
- Roseville, CA
National Provider Identifier
1861561219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- G33580
- Practice address
- 8723 Sierra College Blvd
Suite 220
Roseville, CA 95661-5920 - Phone
- (916) 791-0797
- Fax
- (916) 791-1479
- NPI assigned
- Nov 7, 2006
- Last updated
- Mar 3, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | G33580 | CA | Primary |
| Allergy Physician | 207KA0200X | G33580 | CA | |
| Clinical & Laboratory Immunology (Allergy & Immunology) Physician | 207KI0005X | G33580 | CA | |
| Pediatrics Physician | 208000000X | G33580 | CA | |
| Pediatric Clinical & Laboratory Immunology Physician | 2080I0007X | G33580 | CA | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | G33580 | CA | |
| Pediatric Allergy/Immunology Physician | 2080P0201X | G33580 | CA |
Addresses
Primary practice location
8723 Sierra College Blvd
Suite 220
Roseville, CA 95661-5920
Mailing address
4120 Douglas Blvd
# 112
Granite Bay, CA 95746-5936
Phone (916) 791-0797
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33580 | CA | MD | Licensed Psychiatric Technician |
| G33580 | CA | MD | Clinical & Laboratory Immunology (Allergy & Immunology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berman Skin Institute Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Allergy & Immunology Physician
- Roseville, CA
- NPI 1265502793
-
- Dermatology Physician
- Los Altos, CA
- NPI 1528175528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456963200000",
"number": "1861561219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4120 DOUGLAS BLVD",
"address_2": "# 112",
"city": "GRANITE BAY",
"state": "CA",
"postal_code": "957465936",
"telephone_number": "916-791-0797",
"fax_number": "916-791-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8723 SIERRA COLLEGE BLVD",
"address_2": "SUITE 220",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956615920",
"telephone_number": "916-791-0797",
"fax_number": "916-791-1479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "TERRANCE",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2016-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CA",
"license": "G33580",
"primary": true
},
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "CA",
"license": "G33580",
"primary": false
},
{
"code": "207KI0005X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
"state": "CA",
"license": "G33580",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G33580",
"primary": false
},
{
"code": "2080I0007X",
"taxonomy_group": "",
"desc": "Pediatrics, Clinical & Laboratory Immunology",
"state": "CA",
"license": "G33580",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "CA",
"license": "G33580",
"primary": false
},
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "CA",
"license": "G33580",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.