CRYSTAL CHANG (NPI# 1194106682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194106682 |
| Entity Type | Individual |
| Full Name | CRYSTAL CHANG |
| Credential | DDS |
| Practice Address |
3801 Miranda Ave Palo Alto CA 94304-1207 |
| Mailing Address |
3423 Cork Oak Way Palo Alto CA 94303-4141 |
| Practice Telephone | 6504935000 |
| Mailing Telephone | 7819853620 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2017-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 100067 | CA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075010 | Crystal Tin-tin Chang | Student in an Organized Health Care Education/Training Program | 98 S Los Robles Ave, Pasadena, CA 91101-2433 | 2020-05-18 |
| 1518253012 | Crystal Chang | Radiology | 180 Rowland Way, Novato, CA 94945-5009 | 2011-06-22 |
| Street Address |
3801 MIRANDA AVE |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405449 | John Paul Lavelle | Urology | 3801 Miranda Ave, B3-117 Bldg 100 Urology (#112), Palo Alto, CA 94304-1207 | 2005-05-27 |
| 1437750619 | Ashley Ando | Respiratory Therapist, Registered | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-11-04 |
| 1265032783 | Jim Le | Occupational Therapist | 3801 Miranda Ave, Palo Alto, CA 94304-1290 | 2020-10-26 |
| 1497354484 | Laura Renee Zimmerman | Registered Nurse | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-10-21 |
| 1891300810 | Clark Dan Ma | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-09-15 |
| 1124630900 | Palo Alto Perfusion Service | Perfusionist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-21 |
| 1790397362 | Gihun Kim | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-17 |
| 1750993309 | Jessica Tran | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-17 |
| 1083226500 | Danielle Jean Fox | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1290 | 2020-08-17 |
| 1346851078 | Alice Lin | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215597927 | Ihab Andrawess Dmd | Dentist | 655 Homer Ave Ste C, Palo Alto, CA 94301-2887 | 2019-06-14 |
| 1609430628 | Munazzah Hussain | Dentist | 2290 Birch St Ste A, Palo Alto, CA 94306-1559 | 2019-04-25 |
| 1922503960 | Collins and Mingrone D.d.s., P.C. | Dentist | 2875 Middlefield Rd Ste 4, Palo Alto, CA 94306-2548 | 2018-03-29 |
| 1558782292 | Kevin Ching Kai Lin | Dentist | 3927 Louis Rd, Palo Alto, CA 94303-4542 | 2013-12-24 |
| 1235367509 | Jung Nam | Dentist | 1691 El Camino Real Ste 200, Palo Alto, CA 94306-1054 | 2009-06-25 |
| 1215196357 | Arnold R Keiles Dmd Inc | Dentist | 853 Middlefield Road, Suite 7, Palo Alto, CA 94301-2919 | 2008-06-04 |
| 1104021468 | Ian Yu-hsiang Lin | Dentist | 3801 Miranda Ave (160), Palo Alto, CA 94304 | 2007-06-18 |
| 1366655045 | Robert C Stoudt | Dentist | 660 Middlefield Rd Ste A, Palo Alto, CA 94301-2125 | 2007-05-08 |
| 1952520405 | Christopher H Joy | Dentist | 668 Homer Ave, Palo Alto, CA 94301-2827 | 2007-04-24 |
| 1063637619 | Richard Joseph Marlinski | Dentist | 2290 Birch St, Suite B, Palo Alto, CA 94306-1558 | 2007-04-16 |
| Find all providers in PALO ALTO | ||||
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| 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.