DR. ALVIN CHANG (NPI# 1396857181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396857181 |
Entity Type | Individual |
Full Name | DR. ALVIN CHANG |
Credential | M.D. |
Practice Address |
1101 Bryan Ave Suite E Tustin CA 92780-4401 |
Practice Telephone | 7143525800 |
Practice Fax Number | 7143525801 |
Mailing Telephone | 7143525800 |
Mailing Fax Number | 7143525801 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2016-09-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
A55330 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | OCSC GROUP PTAN | DT9847 | 01 |
CA | 00A553300 | 05 | |
CA | OCSC GROUP NPI | 1699040170 | 01 |
MEDICARE GRP NUMBER | W18492 | 01 |
Street Address |
1101 BRYAN AVE SUITE E |
City | TUSTIN |
State | CA |
Zip Code | 92780-4401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083618623 | Joseph Spencer Swickard | Orthopaedic Surgery | 1101 Bryan Ave, Ste A, Tustin, CA 92780-4401 | 2005-06-10 |
1184160848 | Optimum Dme Inc | Prosthetic/Orthotic Supplier | 1101 Bryan Ave, Suite E, Tustin, CA 92780-4401 | 2017-01-18 |
1144643289 | California Foot and Ankle Group, Inc. | Podiatrist | 1101 Bryan Ave, Suite E, Tustin, CA 92780-4485 | 2014-01-24 |
1699040170 | Orange County Senior Care, Inc | Internal Medicine | 1101 Bryan Ave, Suite E, Tustin, CA 92780-4401 | 2012-03-15 |
1245553072 | Family Orthodontics | Dentist | 1101 Bryan Ave, Suite C, Tustin, CA 92780-4401 | 2010-03-08 |
1487980983 | Brett P Bowman O D Associates P S | Optometrist | 1101 Bryan Ave, Ste. A-1, Tustin, CA 92780-4401 | 2009-10-19 |
1104016799 | Arthur Turk, M.d., Inc | Allergy & Immunology | 1101 Bryan Ave, Suite B, Tustin, CA 92780-4401 | 2007-07-30 |
1053464818 | Brett Patrick Bowman | Optometrist | 1101 Bryan Ave, Ste. A-1, Tustin, CA 92780-4401 | 2007-01-18 |
1407936248 | Eva Eckfeld Katz | Family Medicine | 1101 Bryan Ave, Ste E, Tustin, CA 92780-4401 | 2006-10-16 |
1437254943 | Arthur Turk | Allergy & Immunology | 1101 Bryan Ave, Suite B, Tustin, CA 92780-4401 | 2006-09-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
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Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699040170 | Orange County Senior Care, Inc | Internal Medicine | 1101 Bryan Ave, Suite E, Tustin, CA 92780-4401 | 2012-03-15 |
1851531768 | Amish Kishor Shah | Internal Medicine | 17542 17th St, Suite 320, Tustin, CA 92780-1959 | 2009-03-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902421480 | Healthier Lifestyle Medical Group | Internal Medicine | 1412 W Glenoaks Blvd Ste B, Glendale, CA 91201-1990 | 2020-06-10 |
1972065704 | Joseph A Habis Md | Internal Medicine | 359 Bel Marin Keys Blvd Ste 22, Novato, CA 94949-5637 | 2019-04-01 |
1801363858 | Hgrt Medical Group Inc | Internal Medicine | 31741 Rancho Hill Viejo Road, San Juan Capistrano, CA 92675 | 2018-10-29 |
1972081412 | Ahra Cho, M.d., Inc | Internal Medicine | 2727 W Olympic Blvd Ste 205, Los Angeles, CA 90006-2640 | 2018-08-06 |
1013401975 | Robert H Moon Md, Inc | Internal Medicine | 181 Rea Ave, El Cajon, CA 92020-3985 | 2018-06-14 |
1821587585 | Aost Healthcare Services | Internal Medicine | 10990 Lower Azusa Rd Ste 4, El Monte, CA 91731-1353 | 2018-05-08 |
1396233185 | Caroline Petrossian | Internal Medicine | 1880 Century Park East Suite 711, Century City, CA 90067 | 2018-04-26 |
1558868927 | Gps Physician Group of California PC | Internal Medicine | American River Center, 3900 Garfield Ave, Carmichael, CA 95608 | 2018-04-11 |
1427588417 | Vivacitas Medical Group PC | Internal Medicine | 1383 N Mcdowell Blvd Ste 110, Petaluma, CA 94954-1190 | 2017-06-13 |
1144616590 | Lindsey Merrihew Haddock | Internal Medicine | 4150 Clement St Bldg 1306b, San Francisco, CA 94121 | 2015-04-13 |
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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.