Active NPI
Lisa F Chang, M.D.
- Ophthalmology Physician
- Concord, CA
National Provider Identifier
1962605907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G56527
- Practice address
- 2338 Almond Ave
Concord, CA 94520-2026 - Phone
- (925) 685-1130
- Fax
- (925) 685-1162
- NPI assigned
- Jun 7, 2007
- Last updated
- Sep 22, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G56527 | CA | Primary |
Addresses
Primary practice location
2338 Almond Ave
Concord, CA 94520-2026
Mailing address
17 Emmons Canyon Court
Alamo, CA 94507
Phone (925) 685-1130
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 |
|---|---|---|---|
| G56527 | CA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411344000000",
"number": "1962605907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 EMMONS CANYON COURT",
"city": "ALAMO",
"state": "CA",
"postal_code": "94507",
"telephone_number": "925-685-1130",
"fax_number": "925-685-1162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2338 ALMOND AVE",
"city": "CONCORD",
"state": "CA",
"postal_code": "945202026",
"telephone_number": "925-685-1130",
"fax_number": "925-685-1162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "LISA",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2014-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G56527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.