DR. RANDALL ERIC CHANG (NPI# 1205961372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205961372 |
Entity Type | Individual |
Full Name | DR. RANDALL ERIC CHANG |
Credential | D.D.S. |
Practice Address |
3050 Citrus Cir Suite 110 Walnut Creek CA 94598-2698 |
Practice Telephone | 9259382392 |
Practice Fax Number | 9259382394 |
Mailing Telephone | 9259382392 |
Mailing Fax Number | 9259382394 |
Enumeration Date | 2007-02-22 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
50045 | CA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427171578 | Randall Bung Choy Chang | Dentist | 23 S Vineyard Blvd, #203, Honolulu, HI 96813 | 2007-04-06 |
1033208889 | Randall W Chang | Physician Assistant | 1340 Broad Ave, Suite 420, Gulfport, MS 39501-2404 | 2006-10-12 |
Street Address |
3050 CITRUS CIR SUITE 110 |
City | WALNUT CREEK |
State | CA |
Zip Code | 94598-2698 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386653491 | Margory Alice Joehnk | Psychologist | 3050 Citrus Cir, Suite 114, Walnut Creek, CA 94598-2698 | 2006-08-07 |
1215178728 | Cecil Chang | Pediatrics | 3050 Citrus Cir, #110, Walnut Creek, CA 94598-2698 | 2009-03-12 |
1932231644 | Aaron Ray Nunnery | Dentist | 3050 Citrus Cir, #220, Walnut Creek, CA 94598-2698 | 2007-03-09 |
1619050069 | Laeeq Evered | Clinical Neuropsychologist | 3050 Citrus Cir, Ste 202, Walnut Creek, CA 94598-2662 | 2006-10-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
Find all providers in zip 94598 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972822989 | Tiffany Hsu Ham | Dentist | 355 Lennon Ln, #215, Walnut Creek, CA 94598-2475 | 2010-06-01 |
1417140971 | Jennifer Lynn Larocque | Dentist | 1855 San Miguel Dr, Suite 9, Walnut Creek, CA 94596-5279 | 2007-08-19 |
1194938050 | Sahar Venus Jaffrey | Dentist | 1855 San Miguel Drive, Suite 9, Walnut Creek, CA 94596-5214 | 2007-05-08 |
1992847289 | Duane Elwyn Spencer | Dentist | 1855 San Miguel Drive, Suite 9, Walnut Creek, CA 94596-5214 | 2007-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
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1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
Find all providers with the same taxonomy |
City | WALNUT CREEK |
Zip Code | 94598 |
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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.