ANDREW C CHANG (NPI# 1396702874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396702874 |
| Entity Type | Individual |
| Full Name | ANDREW C CHANG |
| Credential | M.D. |
| Practice Address |
300 Sierra College Dr Ste.105 Grass Valley CA 95945-5082 |
| Practice Telephone | 5302733377 |
| Mailing Telephone | 5302733377 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G72746 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699285965 | Andrew Hyun Soo Chang | Specialist/Technologist | 1770 Hillebrant Pl, Santa Clara, CA 95050-3750 | 2017-10-02 |
| 1003808494 | Andrew Chang | Ophthalmology | 18350 Roscoe Blvd, Suite 101, Northridge, CA 91325-4109 | 2005-08-22 |
| 1780296756 | Andrew Chang | Physical Therapist | 11490 Alpharetta Hwy Ste 200, Roswell, GA 30076-3866 | 2020-08-20 |
| 1841816691 | Andrew Lee Chang | Internal Medicine | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2020-06-17 |
| 1457970501 | Andrew Davey Chang | Student in an Organized Health Care Education/Training Program | 2351 Clay St Ste 380, San Francisco, CA 94115-1931 | 2020-04-09 |
| 1083242192 | Andrew Chang | Student in an Organized Health Care Education/Training Program | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-04-01 |
| 1821641317 | Andrew Chang | Physical Therapist | 4613 Duke St Ste B, Alexandria, VA 22304-2559 | 2019-07-23 |
| 1518451970 | Andrew Chang | Family Medicine | 2055 Kimball Ave Ste 101, Waterloo, IA 50702-5047 | 2018-06-19 |
| 1225534738 | Andrew Chang | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz # Bcm620, Houston, TX 77030-3411 | 2018-04-03 |
| 1508253477 | Andrew Chang | Physical Medicine & Rehabilitation | 3702 Washington St Ste 303, Hollywood, FL 33021-8287 | 2015-04-18 |
| Street Address |
300 SIERRA COLLEGE DR STE.105 |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95945-5082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780148544 | Marie Claire Santos Basco | Nurse Practitioner | 300 Sierra College Dr, Grass Valley, CA 95945-5082 | 2019-01-25 |
| 1073085478 | Hugh M Talman | Physical Therapist | 300 Sierra College Dr, Grass Valley, CA 95945-5082 | 2018-12-23 |
| 1255737755 | Melanie Conley | Physical Therapist | 300 Sierra College Dr, Ste. 165, Grass Valley, CA 95945-5082 | 2014-11-10 |
| 1013310028 | Daniela Pruzan | Physical Therapist | 300 Sierra College Dr, Suite 165, Grass Valley, CA 95945-5082 | 2014-10-03 |
| 1023441821 | Jennifer Anne Hammer | Physical Therapist | 300 Sierra College Dr, Suite 165, Grass Valley, CA 95945-5082 | 2013-08-15 |
| 1538506944 | Mary Debra Gutierrez | Physical Therapist | 300 Sierra College Dr, 165, Grass Valley, CA 95945-5082 | 2013-05-24 |
| 1235575978 | Katherine Neeb | Physical Therapist | 300 Sierra College Dr, 165, Grass Valley, CA 95945-5082 | 2013-05-21 |
| 1831433119 | Courtney Leigh Boucke | Nurse Practitioner | 300 Sierra College Dr, 170, Grass Valley, CA 95945-5082 | 2012-11-26 |
| 1568716843 | Camille Woniya Kolodjay | Physical Therapist | 300 Sierra College Dr, Suite 165, Grass Valley, CA 95945-5082 | 2012-11-07 |
| 1770869711 | Spring Hill Physical Therapy PC | Physical Therapist | 300 Sierra College Dr, Suite 165, Grass Valley, CA 95945-5082 | 2011-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028595 | Rae Meyer Bastoni | Chiropractor | 124 Clydesdale Ct, Ste. K, Grass Valley, CA 95945 | 2019-05-15 |
| 1255815221 | Victoria M Goddard | Counselor | 900 East Main St Suite 201, Grass Valley, CA 95945 | 2018-09-17 |
| 1912488503 | Janell Dawn Jones | Pharmacist | 10106 East Dr, Grass Valley, CA 95945 | 2018-08-22 |
| 1184114779 | Evan Ariel Walters | Physical Therapist | 104 Magaret Lane, Grass Valley, CA 95945 | 2018-05-18 |
| 1295199420 | Allyssa Fennelly Skowyra | Chiropractor | 155 Spring Hill Dr Ste 201, Grass Valley, CA 95945 | 2016-04-13 |
| 1326417627 | Nevada County Crisis Stabilization Unit | Clinic/Center | 145 Glasson Way, Grass Valley, CA 95945 | 2015-09-17 |
| 1942607957 | California Mental Health | Counselor | 120 N. Auburn Street, Ste 212, Grass Valley, CA 95945 | 2014-11-20 |
| 1740611615 | Jarrett M Weiss | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main Street, Grass Valley, CA 95945 | 2013-12-03 |
| 1669802732 | Nicole Marie Sullivan | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main Street, Grass Valley, CA 95945 | 2013-11-26 |
| 1316377369 | Michelene Arielle-nicole Stringer | Residential Treatment Facility, Emotionally Disturbed Children | 714 West Main Street, Grass Valley, CA 95945 | 2013-11-12 |
| Find all providers in zip 95945 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184167959 | Hilary Jordan | Specialist | 144 Hughes Rd, Grass Valley, CA 95945-5631 | 2016-11-29 |
| 1285941534 | Jessa Marie Krissovich | Specialist | 10792 Cedar Ave, Grass Valley, CA 95945-6007 | 2010-09-08 |
| 1780850123 | Arnold Adicoff | Specialist | 13952 Collier Rd, Grass Valley, CA 95945-9340 | 2008-05-06 |
| 1932315082 | Arly Helm | Specialist | 151 Celesta Dr, Grass Valley, CA 95945-5648 | 2007-05-15 |
| 1033293899 | Susan Ann Nance | Specialist | 226 Colfax Ave, Grass Valley, CA 95945-6880 | 2006-10-25 |
| 1093720682 | Aslam Godil | Specialist | 300 Sierra College Dr Ste 105, Grass Valley, CA 95945-5084 | 2006-07-30 |
| 1104840461 | John Walter Lace | Specialist | 140 Litton Dr Ste 120, Grass Valley, CA 95945-5080 | 2006-07-27 |
| 1841218260 | Judith Wright | Specialist | 300 Sierra College Dr Ste 205, Grass Valley, CA 95945-5083 | 2006-07-17 |
| 1013985340 | Walter Scott Miller | Specialist | 10042 Wolf Road, Suite A, Grass Valley, CA 95949 | 2006-03-11 |
| 1760454938 | Michael G Dahle | Specialist | 105 Margaret Ln, Suite B, Grass Valley, CA 95945-5211 | 2006-02-02 |
| Find all providers in GRASS VALLEY | ||||
| City | GRASS VALLEY |
| Zip Code | 95945 |
Please comment or provide details below to improve the information on ANDREW C 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.