AUDREY WILLA CHANG (NPI# 1275960494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275960494 |
Entity Type | Individual |
Full Name | AUDREY WILLA CHANG |
Credential | P.N.P. |
Practice Address |
2210 Mesa Dr Ste. 12 Oceanside CA 92054-3756 |
Mailing Address |
150 Valpreda Rd San Marcos CA 92069-2973 |
Practice Telephone | 7609663306 |
Practice Fax Number | 7609663310 |
Mailing Telephone | 7144573688 |
Enumeration Date | 2013-10-02 |
Last Update Date | 2015-04-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
23514 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679137418 | Audrey Ou Chang | Student in an Organized Health Care Education/Training Program | 3031 Old Clinic Building Cb 7570, Chapel Hill, NC 27599-0001 | 2019-04-26 |
1306378351 | Audrey Chang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2017-03-29 |
1023075603 | Audrey Chang | Pediatrics | 1525 W Belmont Ave, Suite 103, Chicago, IL 60657-7176 | 2006-04-27 |
Street Address |
2210 MESA DR STE. 12 |
City | OCEANSIDE |
State | CA |
Zip Code | 92054-3756 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699780049 | Jennifer Dolby | Pediatrics | 2210 Mesa Dr, Suite 12, Oceanside, CA 92054-3756 | 2006-07-31 |
1427325166 | Donya L Binette | Nurse Practitioner | 2210 Mesa Dr, #12, Oceanside, CA 92054-3756 | 2011-11-23 |
1396852455 | North County Health Project, Inc. | Clinic/Center | 2210 Mesa Dr, Suite 5, Oceanside, CA 92054-3756 | 2006-08-24 |
1902910060 | Marie Mateo | Advanced Practice Midwife | 2210 Mesa Dr, Suite 5, Oceanside, CA 92054-3756 | 2006-08-18 |
1780696013 | Dianne Woelke | Advanced Practice Midwife | 2210 Mesa Dr, Suite 5, Oceanside, CA 92054-3756 | 2006-08-13 |
1164434312 | Edward Curley | Pediatrics | 2210 Mesa Dr, Suite 12, Oceanside, CA 92054-3756 | 2006-08-13 |
1619988409 | Stephanie Schultz | Advanced Practice Midwife | 2210 Mesa Dr, Suite 5, Oceanside, CA 92054-3756 | 2006-08-10 |
1255347894 | North County Health Project, Inc. | Clinic/Center | 2210 Mesa Dr, Suite 300, Oceanside, CA 92054-3756 | 2006-08-01 |
1437166709 | Chanelle Calhoun | Pediatrics | 2210 Mesa Dr, Suite 12, Oceanside, CA 92054-3756 | 2006-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497369987 | Crownview Telehealth Instiute LLC | Community/Behavioral Health | 315 North Clementine Street, Oceanside, CA 92054 | 2020-09-02 |
1992353585 | Janell Katherine Dulaney | Student in an Organized Health Care Education/Training Program | 738 S Tremont St, Oceanside, CA 92054 | 2019-08-28 |
1295201986 | North County Psychology Apc | Clinical Neuropsychologist | 2204 S. El Camino Real, #305, Oceanside, CA 92054 | 2018-10-19 |
1437638947 | Amy Joanne Buckner | Student in an Organized Health Care Education/Training Program | 2204 S El Camino Real Ste 102, Oceanside, CA 92054 | 2018-08-07 |
1285112458 | Alique Bedikian | Counselor | 1100 Sportfisher Dr, Oceanside, Oceanside, CA 92054 | 2018-07-31 |
1053809244 | Thrive Medical Specialists, A Professional Corporation | Physical Medicine & Rehabilitation | 322 N Nevada St., Oceanside, CA 92054 | 2018-04-24 |
1982133377 | Maegan Casanova | Psychologist | 1213 Herby Way, Oceanside, CA 92054 | 2017-06-08 |
1588109466 | Ryan Purvis | Counselor | 2812 Oceanside Blvd, Oceanside, CA 92054 | 2016-12-30 |
1629512595 | Ahi Vein and Vascular Specialists Inc A Professional Medical Corp | Clinic/Center | 2125 South El Camino Real, Suite 210, Oceanside, CA 92054 | 2016-12-13 |
1437531175 | Ginger Burleson | Counselor | 1110 Sportfisher Drive, Oceanside, CA 92054 | 2015-06-18 |
Find all providers in zip 92054 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104126408 | Justina Eckley | Nurse Practitioner | 3227 Beach Rd, Oceanside, NY 11572 | 2010-11-02 |
1427325166 | Donya L Binette | Nurse Practitioner | 2210 Mesa Dr, #12, Oceanside, CA 92054-3756 | 2011-11-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528668167 | Amber Briana Curry | Nurse Practitioner | 1336 6th Ave, San Francisco, CA 94122-2504 | 2020-10-30 |
1194325092 | Caitlin Pirruccello | Nurse Practitioner | 5400 Balboa Blvd Ste 210, Encino, CA 91316-5208 | 2020-10-29 |
1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
1184221798 | Larae Jean Hansen | Nurse Practitioner | 7805 Redondo St, Ventura, CA 93004-3814 | 2020-10-06 |
1497361612 | Brandon Philip Obero Vinzon | Nurse Practitioner | 155 E 4th St Apt 206, Long Beach, CA 90802-2498 | 2020-09-22 |
1538774070 | Emily Ruth Schoen | Nurse Practitioner | 110 Calle Balboa, San Clemente, CA 92672-3132 | 2020-09-11 |
1831715770 | Veronica Munoz-rivera I | Nurse Practitioner | 1327 Leopard Ct, Palmdale, CA 93551-4360 | 2020-06-16 |
1770102295 | Roxanna Arely Caballero | Nurse Practitioner | 185 N Douglas Ave, Fresno, CA 93727-3637 | 2020-04-14 |
1053949214 | Gina Louise James | Nurse Practitioner | 124 Stoney Hill Dr, Folsom, CA 95630-4614 | 2020-03-31 |
1831723519 | Patrinella Gonzales | Nurse Practitioner | 81833 Dr Carreon Blvd Ste 6, Indio, CA 92201-5590 | 2020-03-03 |
Find all providers with the same taxonomy |
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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.