DR. KENNETH H CHANG (NPI# 1952544355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952544355 |
| Entity Type | Individual |
| Full Name | DR. KENNETH H CHANG |
| Credential | M.D. |
| Practice Address |
350 30th St 430 Oakland CA 94609-3424 |
| Practice Telephone | 5108352070 |
| Practice Fax Number | 5108352433 |
| Mailing Telephone | 5108352070 |
| Mailing Fax Number | 5108352433 |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2016-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A96260 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053489997 | Kenneth S. Chang | Obstetrics & Gynecology | 3144 Kennedy Blvd., Jersey City, NJ 07306 | 2006-11-30 |
| 1700986171 | Kenneth Kiyol Chang | Dentist | 4026 W Olympic Blvd, Los Angeles, CA 90019 | 2006-09-25 |
| 1134236821 | Kenneth Kwan-hyun Chang | Ophthalmology | 6600 Kalanianaole Hwy Ste 114c, Honolulu, HI 96825-1273 | 2006-08-25 |
| 1467494674 | Kenneth C Chang | Dentist | 249 Baldwin Rd, Parsippany, NJ 07054-2007 | 2006-06-12 |
| 1003375312 | Kenneth Chang | Student in an Organized Health Care Education/Training Program | 300 Community Dr, Manhasset, NY 11030-3816 | 2019-03-16 |
| 1881181717 | Kenneth G Chang | Student in an Organized Health Care Education/Training Program | 1102 Barclay St, San Antonio, TX 78207-7161 | 2018-04-17 |
| 1932605755 | Kenneth Kuang-chun Chang | Student in an Organized Health Care Education/Training Program | 5645 Main St, Flushing, NY 11355-5045 | 2018-04-02 |
| 1609371970 | Kenneth Galen Chang | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd Ste 4102, Gainesville, FL 32610-3003 | 2018-03-28 |
| 1750798351 | Kenneth Chang | Emergency Medicine | 23900 Katy Fwy, Katy, TX 77494-1323 | 2014-07-15 |
| 1730306739 | Kenneth C.s. Chang | Anesthesiology | 1117 E Devonshire Ave, Hemet, CA 92543-3083 | 2007-04-19 |
| Street Address |
350 30TH ST 430 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932183472 | Yi Yi Stephanie Gu | Internal Medicine | 350 30th St, #320, Oakland, CA 94609-3424 | 2005-11-29 |
| 1225561095 | Jonathan R Dunham | Physician Assistant | 350 30th St, Suite 530, Oakland, CA 94609-3424 | 2017-04-07 |
| 1609317015 | Baychildren's Physicians | Obstetrics & Gynecology | 350 30th St, Suite 208, Oakland, CA 94609-3424 | 2017-03-17 |
| 1417320896 | Sarah Holmgren | Nurse Practitioner | 350 30th St, Suite 320, Oakland, CA 94609-3424 | 2015-11-05 |
| 1477975860 | Hiva Kolodrubetz | Registered Nurse | 350 30th St, #320, Oakland, CA 94609-3424 | 2014-01-20 |
| 1710322664 | Allyse Wharton | Physician Assistant | 350 30th St, Oakland, CA 94609-3424 | 2013-05-06 |
| 1578806329 | Aimee Keyashian | Internal Medicine | 350 30th St, #320, Oakland, CA 94609-3424 | 2013-03-30 |
| 1265774053 | Lynn Ellen Chiarello | Advanced Practice Midwife | 350 30th St, Suite 208, Oakland, CA 94609-3424 | 2013-03-20 |
| 1396001640 | Jennifer Brewster | Physician Assistant | 350 30th St, Suite 320, Oakland, CA 94609-3424 | 2012-04-11 |
| 1497012777 | Nicholas V Drbal | Podiatrist | 350 30th St, Suite 100, Oakland, CA 94609-3424 | 2012-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344321 | Sadeghi Medical Corporation | Surgery | 3871 Piedmont Ave # 105, Oakland, CA 94611-5378 | 2020-10-21 |
| 1598316143 | Heritage Laparoscopy Acute Care Surgery PC | Surgery | 9 Post Rd Ste M7, Oakland, NJ 07436-1615 | 2019-09-25 |
| 1699164137 | Thomas Michael Slemmer | Surgery | 6559 Farallon Way, Oakland, CA 94611-1201 | 2015-01-22 |
| 1336554708 | Benjamin Patrick Sopczynski | Surgery | 365 Hawthorne Ave Ste 101, Oakland, CA 94609-3115 | 2014-06-24 |
| 1922325695 | Leslie Wong | Surgery | 3600 Broadway Fl 3, Oakland, CA 94611-5730 | 2010-04-21 |
| 1649507146 | Charles William Fedde | Surgery | 410 Sam Snead Cir, Oakland, MD 21550-5507 | 2009-11-04 |
| 1619203866 | Pooyan B Sadeghi | Surgery | 39 Montell St, Oakland, CA 94611-4923 | 2009-10-22 |
| 1659530822 | Kelley I-kai Chuang | Surgery | 1411 E 31st St # 22134, Oakland, CA 94602-1018 | 2008-06-03 |
| 1396845384 | Charles A Walch | Surgery | 255 North 4th Street, Suite 2, Oakland, MD 21550-1395 | 2006-09-22 |
| 1235171307 | Eileen T. Consorti | Surgery | 350 30th St Ste 411, Oakland, CA 94609 | 2006-06-12 |
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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.