TINA CHANG (NPI# 1144646027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144646027 |
| Entity Type | Individual |
| Full Name | TINA CHANG |
| Credential | PNP |
| Practice Address |
711 Stony Point Rd Ste 17 Santa Rosa CA 95407-6848 |
| Practice Telephone | 7075472220 |
| Mailing Telephone | 7075472220 |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2015-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
847514 | CA | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
95002954 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891126405 | Tina Chang | Dentist | 26400 Kuykendahl Rd Ste A240, The Woodlands, TX 77375-2894 | 2013-12-06 |
| 1427212497 | Tina Ting-li Chang | Optometrist | 596 Boar Cir, Fremont, CA 94539-6042 | 2008-07-17 |
| 1669731931 | Tina Chang | Occupational Therapist | 3440 E La Palma Ave, Anaheim, CA 92806-2020 | 2012-05-08 |
| 1457627762 | Tina Chang | Family Medicine | 125 16th Ave E, Seattle, WA 98112-5211 | 2012-03-30 |
| 1316232127 | Tina Chang | Pharmacist | 8500 S Main St, T1336, Houston, TX 77025-2703 | 2011-06-09 |
| 1558686584 | Tina Marie Chang | Marriage & Family Therapist | 2130 E 4th St, Ste 200, Santa Ana, CA 92705-3818 | 2010-04-01 |
| 1336302728 | Tina Chang | Dentist | 11301 Wilshire Blvd # W160, Los Angeles, CA 90073-1003 | 2008-07-07 |
| 1912083635 | Tina Ann Chang | Internal Medicine | 1100 9th Ave, Seattle, WA 98101-2756 | 2006-10-27 |
| 1255417770 | Tina L. Chang | Internal Medicine | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 2006-10-27 |
| Street Address |
711 STONY POINT RD STE 17 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95407-6848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306933585 | Marianne Lee Rickards | Social Worker | 711 Stony Point Rd Ste 17, Santa Rosa, CA 95407-6848 | 2006-10-06 |
| 1659744423 | Julia Chang | Nurse Practitioner | 711 Stony Point Rd Ste 17, Santa Rosa, CA 95407-6848 | 2015-11-03 |
| 1558512624 | Santa Rosa Community Health Centers | Clinic/Center | 711 Stony Point Rd Ste 17, Santa Rosa, CA 95407-6848 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
| 1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
| 1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| 1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
| Find all providers in zip 95407 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992096093 | Melissa Catherine Smith | Nurse Practitioner | 962 Sebastapol Road, Santa Rosa, CA 95407-6829 | 2011-04-22 |
| 1477004067 | Lauren Michelle Lorenzi | Nurse Practitioner | 711 Stony Point Rd, 17, Santa Rosa, CA 95407-6802 | 2016-10-18 |
| 1659744423 | Julia Chang | Nurse Practitioner | 711 Stony Point Rd Ste 17, Santa Rosa, CA 95407-6848 | 2015-11-03 |
| 1003295205 | Lauren Roos | Nurse Practitioner | 711 Stony Point Rd, Santa Rosa, CA 95407-6802 | 2015-05-21 |
| 1669860177 | Haleigh Elizabeth Lunas | Nurse Practitioner | 131 Stony Cir Ste 1600, Santa Rosa, CA 95401-9520 | 2015-01-06 |
| 1477884591 | Ariane D Barlocher | Nurse Practitioner | 751 Lombardi Ct # B, Santa Rosa, CA 95407-6793 | 2010-01-29 |
| 1275761280 | Kirsten Joy Covec | Nurse Practitioner | 3569 Round Barn Cir, Santa Rosa Community Health Centers, Santa Rosa, CA 95403-5781 | 2009-06-29 |
| 1841430832 | Colleen Meseroll | Nurse Practitioner | 962 Sebastopol Rd, Santa Rosa, CA 95407-6829 | 2009-03-03 |
| 1306086392 | Lisa Hauptman | Nurse Practitioner | 962 Sebastopol Rd, Santa Rosa, CA 95407-6829 | 2009-03-03 |
| 1538234489 | Phyllis A Angelo | Nurse Practitioner | 3925 Old Redwood Hwy, Santa Rosa, CA 95403-1719 | 2006-11-22 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95407 |
Please comment or provide details below to improve the information on TINA CHANG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.