DR. GRACE CHANG (NPI# 1710185814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710185814 |
| Entity Type | Individual |
| Full Name | DR. GRACE CHANG |
| Credential | M.D., PH.D. |
| Practice Address |
20511 Lake Forest Dr Lake Forest CA 92630-7741 |
| Practice Telephone | 9492153139 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2014-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 231696 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871074997 | Grace Chang | Psychologist | 10653 Riverside Dr, North Hollywood, CA 91602-2341 | 2018-08-27 |
| 1861745762 | Grace Chang | Optometrist | 5204-a Rolling Road, Burke, VA 22015-1605 | 2012-10-17 |
| 1023366424 | Grace Jeanee Chang | Counselor | 2270 Pickwick Pl, Fullerton, CA 92833-4804 | 2012-08-16 |
| 1447519020 | Grace S. Chang | Nurse Practitioner | 276 Main St., Minute Clinic / Cvs #2416, Demille, NJ 07834-2646 | 2012-05-16 |
| 1467751586 | Grace Chang | Speech-Language Pathologist | 4951 Chambers Street- 6th Fl, Ny, NY 10007-1209 | 2011-03-16 |
| 1467681668 | Grace Chang | Dietitian, Registered | 1515 John St, Fort Lee, NJ 07024-2560 | 2009-07-08 |
| 1508424805 | Grace Chang | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2019-05-31 |
| 1033772280 | Grace Chou Chang | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2019-04-15 |
| 1780163022 | Grace Chang | Behavior Technician | 46040 Center Oak Plz Ste 150, Sterling, VA 20166-6611 | 2018-08-08 |
| 1245729706 | Grace Weilin Chang | Audiologist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2018-05-09 |
| Street Address |
20511 LAKE FOREST DR |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630-7741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841440104 | Retina Medical Group | Ophthalmology | 22451 Silver Spur, Lake Forest, CA 92630-4342 | 2008-09-23 |
| 1881880896 | Golareh Fazilat | Ophthalmology | 23832 Rockfield Blvd Ste 150, Lake Forest, CA 92630-2820 | 2007-09-24 |
| 1023133576 | Julie Ann Claveria, M.d., Inc., A Professional Medical Corporation | Ophthalmology | 23792 Rockfield Blvd Ste 240, Lake Forest, CA 92630-2830 | 2007-03-20 |
| 1275841223 | G. Fazilat, Inc | Ophthalmology | 23832 Rockfield Blvd Ste 150, Lake Forest, CA 92630-2820 | 2010-09-23 |
| 1174638241 | Northshore Eye Care, Ltd | Ophthalmology | 800 N Westmoreland Rd, Suite 206, Lake Forest, IL 60045-1673 | 2006-08-20 |
| 1114905874 | Bradley E Ruff | Ophthalmology | 900 N Westmoreland Rd, Ll84, Lake Forest, IL 60045-1674 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790922 | Paul B Kouyoumjian, Md Inc. | Ophthalmology | 18040 Sherman Way Ste 205, Reseda, CA 91335-4631 | 2020-11-04 |
| 1700496320 | William Thomas Parker | Ophthalmology | 5279 Gaylord Pl, San Diego, CA 92117-1034 | 2020-08-07 |
| 1588274724 | Katerina Kurteeva Md Inc | Ophthalmology | 3140 Bear St Ste 100, Costa Mesa, CA 92626-2964 | 2020-08-03 |
| 1285252502 | Eyecare Specialists Medical Group, Inc | Ophthalmology | 58-471 29 Palms Hwy, Yucca Valley, CA 92284-5818 | 2020-07-13 |
| 1407473754 | Janet K. Kim Md, Inc | Ophthalmology | 903 Crenshaw Blvd Ste 105, Los Angeles, CA 90019-1972 | 2020-07-02 |
| 1699392506 | Desert Ophthalmology Medical Corporation | Ophthalmology | 72650 Fred Waring Dr Ste 109, Palm Desert, CA 92260-5008 | 2020-06-26 |
| 1942821566 | Simon Eyes, Inc. | Ophthalmology | 3260 Beard Rd Ste 5, Napa, CA 94558-3466 | 2020-05-05 |
| 1942821905 | Nathan Abraham Md Vision Professionals Inc | Ophthalmology | 24305 Town Center Dr Ste 160, Valencia, CA 91355-1347 | 2020-04-30 |
| 1720609878 | Don Saul Ellis | Ophthalmology | 343 11th St, Del Mar, CA 92014-2607 | 2020-04-29 |
| 1245851534 | Santa Barbara Eyecare Inc., A Professional Medical Corporation | Ophthalmology | 2946 De La Vina St, Santa Barbara, CA 93105-3310 | 2020-04-28 |
| Find all providers with the same taxonomy | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
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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.