DR. RICHARD C CHANG (NPI# 1831195882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831195882 |
| Entity Type | Individual |
| Full Name | DR. RICHARD C CHANG |
| Credential | M.D. |
| Practice Address |
16465 Sierra Parkway # 245 Fontana CA 92236 |
| Mailing Address |
16465 Sierra Lakes Pkwy Ste 245 Fontana CA 92336 |
| Practice Telephone | 9098297337 |
| Practice Fax Number | 9098291218 |
| Mailing Telephone | 9098297337 |
| Mailing Fax Number | 9098291218 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2012-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A86339 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | L0074 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TAX ID | 760530251 | 01 |
| TX | 160280701 | 05 | |
| TX | BLUE CROSS & BLUE SHIELD | 8G2996 | 01 |
| CA | CALIFORNIA MEDICAL LICENSE | A86339 | 01 |
| TX | MEDICAL LICENSE | L0074 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427104686 | Richard Chang | Internal Medicine | 10820 Sw 113th Pl, Miami, FL 33176-3227 | 2007-01-28 |
| 1104989615 | Richard Chang | Dentist | 14955 Shady Grove Rd S, Suite 310, Rockville, MD 20850 | 2006-12-18 |
| 1710075213 | Richard Chang | Dentist | 121 112th Ave Ne Ste D, Bellevue, WA 98004-5807 | 2006-10-10 |
| 1942313317 | Richard Edward Chang | Dentist | 8137 Sunset Ave, #130, Fair Oaks, CA 95628 | 2006-08-17 |
| 1154384311 | Richard S. Chang | Internal Medicine | 100 Wilshire Blvd Ste 700, Santa Monica, CA 90401-3602 | 2006-04-10 |
| 1285620468 | Richard Y Chang | Internal Medicine | 960 Clague Rd Ste 1200, Seidman Cancer Center, Westlake, OH 44145-1585 | 2005-09-23 |
| 1790789618 | Richard Chang | Orthopaedic Surgery | 8100 Wescott Dr, Suite 101, Flemington, NJ 08822-4671 | 2005-06-09 |
| 1013473651 | Richard Chang | Behavior Technician | 20 N Dewitt Ave, Clovis, CA 93612-0311 | 2019-02-19 |
| 1518489632 | Richard Chang | Pharmacist | 228 Strawbridge Dr, Moorestown, NJ 08057-4600 | 2017-07-11 |
| 1043639180 | Richard John Chang | Family Medicine | 500 W Annandale Rd, Falls Church, VA 22046-4205 | 2014-04-15 |
| Street Address |
16465 SIERRA PARKWAY # 245 |
| City | FONTANA |
| State | CA |
| Zip Code | 92236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710518915 | Phong Phan | Pharmacist | 84 010 Avenue 50, Coachella, CA 92236 | 2020-01-28 |
| 1518511500 | Sally Mireles | Counselor | 84109 La Jolla, Coachella, CA 92236 | 2019-07-29 |
| 1174185318 | Laura Castillo-dominguez | Licensed Vocational Nurse | 83113 Los Cabos Ave, Coachella, CA 92236 | 2019-07-08 |
| 1003390519 | Jennifer Le | Registered Nurse | 49-111 Ca-111 #6a, Coachella, CA 92236 | 2018-09-20 |
| 1700302502 | Latino Commission On Alcohol and Drug Abuse Services | Marriage & Family Therapist | 1612 First St., Coachella, CA 92236 | 2017-08-14 |
| 1467993279 | Jose Ramon Ledezma | Prosthetic/Orthotic Supplier | 84475 Goya Dr, Coachella, CA 92236 | 2017-03-13 |
| 1144622432 | Telecare Corporation | Psychiatric Unit | 49-708 Redondo Poniente, Coachella, CA 92236 | 2014-09-18 |
| 1851708762 | Juanita Ferro | Psychiatric Unit | 52371 Dos Palmas, Coachella, CA 92236 | 2014-07-14 |
| 1932519964 | Gloria Graham | Family Medicine | 50249 Harrison St, Coachella, CA 92236 | 2014-04-29 |
| 1326489121 | Alma Elizabeth Guadarrama Hernandez | Social Worker | 49211 Grapefruit Blvd Ste 5&6, Coachella, CA 92236 | 2013-07-10 |
| Find all providers in zip 92236 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598025058 | Kimberly T. Ho | Pediatrics | 16465 Sierra Lakes Pkwy Ste 250, Fontana, CA 92336-1262 | 2012-05-17 |
| 1841599933 | Kelly Vasant Sidhpura | Pediatrics | 9985 Sierra Ave Fl Mob22, Fontana, CA 92335 | 2011-03-15 |
| 1457544454 | Sierra Pacific Pediatric Associates | Pediatrics | 16465 Sierra Lakes Pkwy Ste 245, Fontana, CA 92336-1242 | 2007-08-22 |
| 1578613949 | Eduardo Santos Uy | Pediatrics | 9717 Sierra Ave, Fontana, CA 92335-6716 | 2007-01-10 |
| 1255429585 | Marguerite Rindge Cox | Pediatrics | 17577 Arrow Blvd., Fontana, CA 92335 | 2006-10-11 |
| 1104939172 | Swapna S. Kudtarkar | Pediatrics | 17051 Sierra Lakes Pkwy Ste 101, Fontana, CA 92336-1274 | 2006-08-16 |
| 1295781946 | Leticia M. Cadiz | Pediatrics | 16655 Foothill Blvd, Suite 100, Fontana, CA 92335-8416 | 2006-05-25 |
| 1790201283 | Adriana Cornejo | Pediatrics | 16465 Sierra Lakes Pkwy, Fontana, CA 92336-1242 | 2017-08-17 |
| 1265886196 | Felipe Orlando Camero Amortegui | Pediatrics | 17051 Sierra Lakes Pkwy Ste 101, Fontana, CA 92336-1274 | 2016-04-18 |
| 1144682345 | Emmeline See-wai Wong Qin | Pediatrics | 9985 Sierra Ave, Fontana, CA 92335-6720 | 2016-03-25 |
| 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.