JUSTIN CHANG (NPI# 1265788228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265788228 |
| Entity Type | Individual |
| Full Name | JUSTIN CHANG |
| Credential | D,O. |
| Practice Address |
661 Sierra Rose Dr Reno NV 89511 |
| Mailing Address |
59 Damonte Ranch Pkwy Ste B551 Reno NV 89521-1907 |
| Practice Telephone | 7759828255 |
| Practice Fax Number | 7759828521 |
| Mailing Telephone | 6822332889 |
| Mailing Fax Number | 5127773130 |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2019-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | DO1879 | NV | Other Service Providers |
| Y | 207Q00000X | Family Medicine | DO1879 | NV | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | OS016066 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 13526128 | 01 | |
| NV | 1265788228 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457344186 | Justin Chang | Optometrist | 4720 Peachtree Industrial Blvd, Ste 206, Norcross, GA 30071-5735 | 2005-08-29 |
| 1063049203 | Justin Chang | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-03-26 |
| 1841729910 | Justin Theodore Chang | Family Medicine | 1825 Logan Ave Ste 201, Waterloo, IA 50703-1916 | 2017-06-12 |
| 1508311754 | Justin Ys Chang | Marriage & Family Therapist | 2525 Camino Del Rio S, Suite 315, San Diego, CA 92108-3717 | 2016-08-17 |
| 1316301526 | Justin Kaeen Chang | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2016-04-13 |
| 1174722649 | Justin P. Chang | Radiology | 7340 Shadeland Sta Ste 200, Indianapolis, IN 46256-3980 | 2007-07-16 |
| 1689701625 | Justin C Chang | Emergency Medicine | 10350 E Dakota Ave, Denver, CO 80247-1314 | 2007-02-27 |
| 1013958560 | Justin Chang | Internal Medicine | 43112 15th St W, Lancaster, CA 93534-6219 | 2006-06-08 |
| Street Address |
661 SIERRA ROSE DR |
| City | RENO |
| State | NV |
| Zip Code | 89511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417989120 | Dan G Snow | General Practice | 661 Sierra Rose Dr, Reno, NV 89511-2060 | 2006-07-06 |
| 1659927622 | Arianne Melissa Sallaberry | Acupuncturist | 661 Sierra Rose Dr, Reno, NV 89511-2060 | 2019-08-14 |
| 1205499084 | Meredith Ohm | Nurse Practitioner | 661 Sierra Rose Dr, Reno, NV 89511-2060 | 2019-04-17 |
| 1558714865 | Robert W Watson, Md, Ltd | Surgery | 661 Sierra Rose Dr, Reno, NV 89511-2060 | 2016-07-21 |
| 1447632476 | Deborah Sheryl Grinager | Counselor | 661 Sierra Rose Dr, Reno, NV 89511-2060 | 2015-06-25 |
| 1487036745 | Vanessa Ann Tabaac | Family Medicine | 661 Sierra Rose Dr, Reno, NV 89511-2060 | 2015-06-23 |
| 1952688830 | Samanda Durand | Acupuncturist | 661 Sierra Rose Dr, Reno, NV 89511 | 2011-11-07 |
| 1316103435 | Kristina Suzanne Lewis | Nurse Practitioner | 661 Sierra Rose Dr, Reno, NV 89511-2060 | 2008-07-29 |
| 1003070640 | Susan Jin-sun Park | Family Medicine | 661 Sierra Rose Dr, Reno, NV 89511 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1902428915 | Roxann Jeanette Richardson | Student in an Organized Health Care Education/Training Program | Unr Redfield Campus Nell J. Redfield Bldg. A, Suite 104 18600 Wedge Parkway, Reno, NV 89511 | 2020-05-13 |
| 1487286654 | Noelle Marie Davis-marinaccio | Nurse Practitioner | 5570 Longley Lane, Reno, NV 89511 | 2020-02-06 |
| 1265092662 | Elysia Jones | Student in an Organized Health Care Education/Training Program | 18600 Wedge Parkway, Nell J. Redfield Building A, Suite 104, Reno, NV 89511 | 2019-06-18 |
| 1023583622 | Vera Whole Health, Wa PC | Clinic/Center | 699 Sierra Rose Drive, Reno, NV 89511 | 2018-10-10 |
| 1841786027 | Christina Willett | Speech-Language Pathologist | 14680 S. Quiet Meadow Drive, Reno, NV 89511 | 2018-07-10 |
| 1235630864 | High Sierra Psychiatry, LLC | Clinic/Center | Reno Behavioral Healthcare Hospital, 6940 Sierra Center Parkway, Reno, NV 89511 | 2018-02-28 |
| 1154839637 | Jacob Blake, Md Ltd. | Anesthesiology | 5590 Kietzke Lane, Reno, NV 89511 | 2018-01-18 |
| 1548776024 | Jennifer L. Shane O.d., Ltd | Optometrist | 5385 Reno Corporate Drive #100, Reno, NV 89511 | 2017-12-20 |
| 1619488525 | Reno Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 6940 Sierra Center Parkway, Reno, NV 89511 | 2017-10-18 |
| Find all providers in zip 89511 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303762 | Chelsey Marie Miller | Family Medicine | 197 Damonte Ranch Pkwy, Reno, NV 89521-1908 | 2020-10-14 |
| 1568079804 | Natalie Irene Bernard | Family Medicine | 7610 Tamra Dr, Reno, NV 89506-6731 | 2020-09-30 |
| 1669089983 | Helena Class-alexander Arpn LLC | Family Medicine | 1905 California Ave, Reno, NV 89509-2369 | 2020-09-30 |
| 1427609247 | Lindsey A Butcher | Family Medicine | 1905 Horse Prairie Rd, Reno, NV 89521-4361 | 2019-09-23 |
| 1821641937 | Alm Family Practice | Family Medicine | 1895 Plumas St Ste 6, Reno, NV 89509-3384 | 2019-07-17 |
| 1790236180 | Medtrans Reno Casal, Pllc | Family Medicine | 890 Mill St Fl 4, Reno, NV 89502 | 2016-10-20 |
| 1003266032 | Matthew Gordon | Family Medicine | 10539 Professional Cir Ste 200, Reno, NV 89521 | 2016-06-21 |
| 1760843668 | Karen Thiele | Family Medicine | Brigham Bldg 316unsom, Reno, NV 89557-0169 | 2016-03-19 |
| 1538586417 | Katelyn Bruner | Family Medicine | Renown Medical Group Caughlin, 4796 Caughlin Pkwy #108, Reno, NV 89519-0907 | 2014-03-28 |
| 1023372349 | Alejandro De La Parra Landa | Family Medicine | 1664 N Virginia Street Ms 316 Brigham Bldg, Reno, NV 89557-0001 | 2012-07-02 |
| Find all providers in RENO | ||||
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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.