Active NPI
Jessica T Chang, O.D.
- Optometrist
- Torrance, CA
National Provider Identifier
1972667889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12791
- Practice address
- 3525 W Carson St
Del Amo Fashion Center Unit 30
Torrance, CA 90503-5704 - Phone
- (310) 370-2626
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12791 | CA | Primary |
Addresses
Primary practice location
3525 W Carson St
Del Amo Fashion Center Unit 30
Torrance, CA 90503-5704
Mailing address
11414 Missouri Ave
Unit D
Los Angeles, CA 90025-5578
Phone (909) 331-8888
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12791 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972667889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11414 MISSOURI AVE",
"address_2": "UNIT D",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255578",
"telephone_number": "909-331-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 W CARSON ST",
"address_2": "DEL AMO FASHION CENTER UNIT 30",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905035704",
"telephone_number": "310-370-2626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "JESSICA",
"middle_name": "T",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.