DR. CATHERINE KYONGA CHANG (NPI# 1750410262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750410262 |
| Entity Type | Individual |
| Full Name | DR. CATHERINE KYONGA CHANG |
| Credential | MD |
| Practice Address |
4647 Zion Ave San Diego CA 92120-2507 |
| Practice Telephone | 6195287931 |
| Practice Fax Number | 3195283777 |
| Mailing Telephone | 6195287931 |
| Mailing Fax Number | 3195283777 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2015-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | A79317 | CA | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME107331 | FL | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
A79317 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0024500400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154581254 | Catherine L Chang | Pediatrics | 525 E. 68th Street, N-506, Division of Newborn Medicine, New York, NY 10065 | 2008-06-11 |
| 1700406725 | Catherine Chang | Student in an Organized Health Care Education/Training Program | 1941 East Rd Ste 3236, Houston, TX 77054-6010 | 2020-04-20 |
| 1124664255 | Catherine Tin Chang | Pharmacist | 12940 Saratoga Sunnyvale Rd, Saratoga, CA 95070-4250 | 2019-11-25 |
| 1093210924 | Catherine Chang | Behavior Technician | 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 | 2018-03-23 |
| 1760759526 | Catherine Pham Chang | Physical Therapist | 1350 S King St Ste 300, Honolulu, HI 96814-2066 | 2011-11-22 |
| 1457632226 | Catherine Chang | Pharmacist | 15222 Summit Ave, Fontana, CA 92336-0231 | 2011-09-07 |
| 1851684062 | Catherine S. Chang | Plastic Surgery | 436 N Bedford Dr Ste 103, Beverly Hills, CA 90210-4323 | 2011-05-20 |
| 1124358908 | Catherine Chung Chang | Pharmacist | 1 Jarrett White Rd, Department of Pharmacy, Tripler Army Medical Center, HI 96859-5001 | 2009-12-30 |
| 1487731949 | Catherine Lee Chang | Radiology | 2100 Erwin Rd, Durham, NC 27705-3941 | 2006-11-01 |
| 1295766426 | Catherine Chang | Specialist | 1401 Avocado Ave, Ste 710, Newport Beach, CA 92660-7768 | 2006-07-05 |
| Street Address |
4647 ZION AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356332373 | Jon Thomas Umlauf | Family Medicine | 4647 Zion Ave, San Diego, CA 92120 | 2005-10-31 |
| 1316586076 | Michael Lam | Pharmacist | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-12-29 |
| 1093358772 | Kaily Walters | Dietitian, Registered | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-10-24 |
| 1023650496 | Michael Dean Perry | Radiology | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-10-17 |
| 1912558297 | Vishnavi Pailla Reddy | Pharmacist | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-09-26 |
| 1124678016 | Raymond Sami Totah | Pharmacist | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-09-12 |
| 1225699416 | Thao Phuong Nguyen | Pharmacist | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-06-27 |
| 1790340073 | Edwin Uribe Contreras | Student in an Organized Health Care Education/Training Program | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-05-02 |
| 1588229835 | Anthony Jacob Sutton Mells | Student in an Organized Health Care Education/Training Program | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-05-02 |
| 1295399640 | Richard William Comeaux | Student in an Organized Health Care Education/Training Program | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 |
|---|---|---|---|---|
| 1265872873 | Sasha Salloum, Md, Inc | Surgery | 1250 Cleveland Ave, Suite A209, San Diego, CA 92103-7300 | 2013-06-27 |
| 1194097873 | David Roger James | Surgery | 577 Rosecrans St., San Diego, CA 92106-0000 | 2012-01-27 |
| 1316012339 | Huntington Beach Surgery | Surgery | 12828 Baywind Pt, San Diego, CA 92130-2796 | 2006-11-22 |
| 1639173974 | Bernard J Urlaub | Surgery | 5555 Reservoir Dr., Ste. 206, San Diego, CA 92120-5101 | 2005-06-01 |
| 1306369798 | Mercy Vascular, A Professional Medical Corporation | Surgery | 550 Washington St Ste 641, San Diego, CA 92103-2229 | 2017-07-18 |
| 1659503316 | Tazo Inui | Surgery | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2009-08-13 |
| 1902051311 | Bernard J. Urlaub, Md, Inc | Surgery | 6699 Alvarado Rd, Ste. 2210, San Diego, CA 92120-5238 | 2008-11-26 |
| 1164684056 | Kelley Deborah Hodgkiss-harlow | Surgery | 4647 Zion Ave, San Diego, CA 92120-2507 | 2008-07-01 |
| 1770742264 | Omar Al-nouri | Surgery | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2008-06-09 |
| 1912055971 | Timothy G. Canty Jr. | Surgery | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-01-08 |
| Find all providers in SAN DIEGO | ||||
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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.