ALICE CHANG (NPI# 1689058455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689058455 |
| Entity Type | Individual |
| Full Name | ALICE CHANG |
| Practice Address |
86-260 Farrington Hwy Waianae HI 96792-3128 |
| Practice Telephone | (510) 316-5671 |
| Mailing Telephone | 5103165671 |
| Enumeration Date | 2015-07-11 |
| Last Update Date | 2019-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 686943 | NY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2299 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F340316 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5201 Prather Ave, Richmond, CA 948052463 | 5103165671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568737484 | Alice Chang | Family Medicine | 801 South Chevy Chase Dr., Suite 201, Glendale, CA 91205 | 2012-03-09 |
| 1326124918 | Alice F Chang | Psychologist | 6616 E Carondelet Dr, Tucson, AZ 85710-2119 | 2006-10-27 |
| 1396373635 | Alice Mary Chang | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Fort Worth, TX 76104-4917 | 2020-03-31 |
| 1124583794 | Alice Chang | Behavior Technician | 1901 Royal Oaks Dr Ste 201, Sacramento, CA 95815-4235 | 2019-02-07 |
| 1740671023 | Alice Chang | Pharmacy Technician | 12197 Sunset Hills Rd, Reston, VA 20190 | 2015-02-09 |
| 1104052356 | Alice E Chang | Otolaryngology | 203 Hospital Dr, Suite 200, Glen Burnie, MD 21061-6904 | 2009-06-02 |
| 1578721536 | Alice Chang | Physical Therapist | 1359 Pine St, San Francisco, CA 94109-4807 | 2008-05-27 |
| 1174717110 | Alice Yoonju Chang | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2007-09-04 |
| 1962614495 | Alice Chun Feng Chang | Dentist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2007-05-04 |
| 1811044373 | Alice Chang | Psychiatry & Neurology | 1201 Chestnut St, 2nd Floor, Philadelphia, PA 19107-4123 | 2007-01-05 |
| Street Address |
86-260 FARRINGTON HWY |
| City | WAIANAE |
| State | HI |
| Zip Code | 96792-3128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942266739 | John Louis Myhre | Psychologist | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2006-04-21 |
| 1154932432 | Steven Keone Young | Nurse Practitioner | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-08-11 |
| 1164049169 | Christopher Dayoan | Nurse Practitioner | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-06-25 |
| 1831714930 | Victor Francisco Solis Ojeda | Nurse Practitioner | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-06-15 |
| 1053935320 | Tina Hualani Myers | Nurse Practitioner | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-06-03 |
| 1710516448 | Cody Wei Ming Sia | Student in an Organized Health Care Education/Training Program | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-04-04 |
| 1023643921 | Cara Lawler | Student in an Organized Health Care Education/Training Program | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-03-11 |
| 1760016273 | Nadiene Oh Wu | Student in an Organized Health Care Education/Training Program | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-02-24 |
| 1568096113 | Cory Daley | Student in an Organized Health Care Education/Training Program | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-02-22 |
| 1437782158 | Annalise Ferreira | Counselor | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707324 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Pharmacy | 86-032 Farrington Hwy., Suite 101, Waiana, HI 96792 | 2020-07-09 |
| 1457992786 | Longs Drug Store California LLC | Durable Medical Equipment & Medical Supplies | 89-102 Farrington Highway, Unit 4, Waianae, HI 96792 | 2019-10-08 |
| 1346742319 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 89-980 Nanakuli Ave, Waianae, HI 96792 | 2018-03-06 |
| 1366941064 | Longs Drug Stores California, L.L.C. | Durable Medical Equipment & Medical Supplies | 84-1160 Farrington Highway, Waianae, HI 96792 | 2018-02-08 |
| 1992167720 | Regan Dean Gabriel Jr. | Massage Therapist | 85-779waianae Valley Rd #b, Waianae, HI 96792 | 2016-03-22 |
| 1962887315 | Eucabeth A Kilonzo | Nurse Practitioner | Waianae Coast Comprehensive Health Center, 86-260 Farrington Hwy, Waianae, HI 96792 | 2015-07-28 |
| 1194134395 | Moana Gaspar | Counselor | 86-088 Farrington Hwy Suite #7, Waianae, HI 96792 | 2014-08-13 |
| 1245507912 | Cynthia Delores King | Dietitian, Registered | 88-688 Ala Mahiku St, 33 #157c, Waianae, HI 96792 | 2011-11-24 |
| 1558591156 | Kyle Y Oroku | Optometrist | 86 120 Farrington Highway, Suite C301, Waianae, HI 96792 | 2009-07-17 |
| 1285862946 | Nestor Cortez Herana Jr. | Internal Medicine | 86-260 Farrington Hwy, Malama Ola Clinic, Waianae Coast Comprehensive Health Center, Waianae, HI 96792 | 2009-07-01 |
| Find all providers in zip 96792 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992321681 | Monica Ann-villiaros Magallanes | Nurse Practitioner | 84-817 Fricke St, Waianae, HI 96792-1915 | 2020-06-18 |
| 1962887315 | Eucabeth A Kilonzo | Nurse Practitioner | Waianae Coast Comprehensive Health Center, 86-260 Farrington Hwy, Waianae, HI 96792 | 2015-07-28 |
| 1295118818 | Lindsey Christensen | Nurse Practitioner | 89-153 Mano Ave, Waianae, HI 96792-4036 | 2015-06-30 |
| 1578692034 | Edna Joan Smith | Nurse Practitioner | 87-601 Manuu St, Waianae, HI 96792-3234 | 2007-03-02 |
| 1053935320 | Tina Hualani Myers | Nurse Practitioner | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-06-03 |
| 1043864416 | George Toshio Kato | Nurse Practitioner | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2019-07-24 |
| 1982268744 | Ashley Nicole Williams | Nurse Practitioner | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2019-04-26 |
| 1740769306 | Mathew Bellhouse-king | Nurse Practitioner | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2018-08-14 |
| 1447736939 | Taylor Lynn Short | Nurse Practitioner | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2018-07-17 |
| 1215423298 | Aaron Beaugh Summers | Nurse Practitioner | 86-260 Farrington Hwy, Waianae, HI 96792 | 2018-07-02 |
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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.