BENJAMIN CHANG (NPI# 1184251365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184251365 |
| Entity Type | Individual |
| Full Name | BENJAMIN CHANG |
| Practice Address |
17234 Valley Blvd., Bldg. A Fontana CA 92335 |
| Practice Telephone | 7138849075 |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780896399 | Benjamin Jonah Roda Chang | Acupuncturist | 301 W Holly St, Suite M3, Bellingham, WA 98225-4358 | 2007-05-04 |
| 1154401883 | Benjamin Minsoo Chang | Physical Medicine & Rehabilitation | 4037 81st St, Elmhurst, NY 11373-1393 | 2006-10-17 |
| 1952780652 | Benjamin Weizer Chang | Nurse Practitioner | 39180 Farwell Dr, Fremont, CA 94538-1000 | 2015-05-27 |
| 1275744195 | Benjamin M. Chang | Anesthesiology | 801 7th Ave, Fort Worth, TX 76104-2733 | 2007-05-24 |
| 1639185143 | Benjamin Chang | Internal Medicine | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2006-08-01 |
| 1043246820 | Benjamin Chang | Plastic Surgery | 3400 Civic Center Blvd, 1-330s Perelman Center, Philadelphia, PA 19104-4306 | 2006-06-24 |
| 1952344905 | Benjamin C Chang | Pediatrics | 98-1079 Moanalua Road, Suite 500, Aiea, HI 96701-4794 | 2006-06-14 |
| 1598756793 | Benjamin Chang | Ophthalmology | 450 Endo Blvd, Garden City, NY 11530-6723 | 2005-11-04 |
| 1023008117 | Benjamin Bansun Chang | Radiology | 391 Myrtle Ave., Suite 5, Albany, NY 12208-3412 | 2005-10-28 |
| 1669467023 | Benjamin Gee Chang | Internal Medicine | 2 Crosfield Ave, Suite 318, West Nyack, NY 10994-2226 | 2005-09-13 |
| Street Address |
17234 VALLEY BLVD., BLDG. A |
| City | FONTANA |
| State | CA |
| Zip Code | 92335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063049278 | Karina Lawrence | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| 1316411911 | Jared Willhide-james | Counselor | 14677 Merill Ave., Fontana, CA 92335 | 2019-01-16 |
| Find all providers in zip 92335 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760019798 | John Le | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd Building A, Fontana, CA 92335-6720 | 2020-03-27 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1376027649 | Jose Antonio Sanchez Jr. | Student in an Organized Health Care Education/Training Program | 16487 El Molino Ct, Fontana, CA 92335-6513 | 2018-09-21 |
| 1861923963 | Caitlin Francoisse | Student in an Organized Health Care Education/Training Program | 14068 Champlain Ct, Fontana, CA 92336-3505 | 2017-03-21 |
| 1487102729 | Elisa Arteaga | Student in an Organized Health Care Education/Training Program | 15372 Aveiro Rd, Fontana, CA 92337-0979 | 2016-09-15 |
| 1780070268 | Victoria Shar Tecson | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Fontana, CA 92335 | 2015-04-10 |
| 1669867115 | Jonathan Isaiah Smith | Student in an Organized Health Care Education/Training Program | 17234 Valley Boulevard, Fontana, CA 92335 | 2015-04-01 |
| 1538508445 | Ershad Forghani-arani | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave # Mob1, Fontana, CA 92335-6720 | 2013-06-24 |
| 1477999084 | Jasmine Kaur Sharma | Student in an Organized Health Care Education/Training Program | 9985 Sierra Ave # Mob2, Fontana, CA 92335-6720 | 2013-05-22 |
| Find all providers in FONTANA | ||||
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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.