CHANG S JOO MD, NPI 1508868787
Internal Medicine in MODESTO, CA
Last Updated on : Feb 22,2008
About CHANG S JOO (NPI 1508868787)
CHANG S JOO is an Internal Medicine provider in MODESTO, United States. His medical specialization is Internal Medicine with a focus in Nephrology.
1508868787 is NPI number of CHANG S JOO.
CHANG S JOO's primary taxonomy code based on NPI Lookup is 207RN0300X with license number A481920. This taxonomy code refers to Internal Medicine.
CHANG S JOO has more than 17 years of experience.
CHANG S JOO current practice location address is 305 E GRANGER AVE, MODESTO, CA. CHANG S JOO can be reached out via phone at 209-526-1606 and via fax at 209-526-1677 .
You can also correspond with CHANG S JOO through mail at mailing address 305 E GRANGER AVE, MODESTO, CA, United States. Mailing address contact number is 209-526-1606.
The enumeration date of CHANG S JOO is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 15 years ago.1508868787 NPI Information
Basic NPI information of CHANG S JOO (NPI 1508868787) is provided below.
| Name | CHANG S JOO |
|---|---|
| National Provider Id (NPI) | 1508868787 |
| Entity Type | Individual |
| Gender | M |
| Credential | MD |
| Practice Address | 305 E GRANGER AVE,
STE 202
MODESTO, CA, United States |
| Practice Telephone | 209-526-1606 |
| Practice Fax Number | 209-526-1677 |
| Mailing Address | 305 E GRANGER AVE ,
STE 202
MODESTO, CA, United States |
| Mailing Telephone | 209-526-1606 |
| Mailing Fax Number | 209-526-1677 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 22-Feb-2008 |
CHANG S JOO (NPI 1508868787) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Internal Medicine, Nephrology | A481920 | CA |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A481920 | MEDICAID (05) | CA |
CHANG S JOO (NPI 1508868787) Office Location
Office location of CHANG S JOO is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1386009108 | 1125 SIR FRANCIS DRAKE BOULEVARD OPERATING COMPANY, LLC | 450 STANYAN ST,
6TH FLOOR SAN FRANCISCO, CA, United States |
21-Dec-2015 | |
| 1760424261 | 1125 SIR FRANCIS DRAKE BOULEVARD OPERATING COMPANY, LLC | 1125 SIR FRANCIS DRAKE BLVD,
KENTFIELD, CA, United States |
11-Jun-2006 | |
| 1134381320 | 4 N PSYCH, INC. | Psychiatry & Neurology, Psychiatry | 1878 E HATCH RD,
MODESTO, CA, United States |
28-Jun-2008 |
| 1861663247 | 81 GRAND HOLDINGS INC | Physical Medicine & Rehabilitation | 1539 MCHENRY AVE,
MODESTO, CA, United States |
13-Mar-2008 |
| 1225792633 | A CARING HAND LLC | In Home Supportive Care | 3233 PERENNIAL WAY,
MODESTO, CA, United States |
22-Oct-2021 |
| 1972138386 | A ND T HOPE 4 CHANGE | Counselor | 1101 STANDIFORD AVE,
MODESTO, CA, United States |
05-Mar-2020 |
| 1477866481 | A P SINGH DENTAL CORP | Dentist | 2431 YALONDA LN,
TURLOCK, CA, United States |
19-Jul-2010 |
| 1518575471 | A S GILL DENTAL CORP | Dentist, General Practice | 1548 MAEHL DR,
MANTECA, CA, United States |
16-Jul-2020 |
| 1043899016 | A S GILL DENTAL CORP | Clinic/Center, Dental | 1548 MAEHL DR,
MANTECA, CA, United States |
06-Apr-2021 |
| 1588191126 | A.PATEL,DDS.INC. | Clinic/Center, Dental | 2800 BRADEN AVE APT 163,
MODESTO, CA, United States |
14-May-2017 |
| 1245368653 | A.WHITEBREAD RNFA | General Acute Care Hospital | 1702 SANDALWOOD DR,
MODESTO, CA, United States |
28-Feb-2007 |
| 1144886045 | ALYSSA ABACO | Behavior Technician | PO BOX 5157,
MODESTO, CA, United States |
15-May-2019 |
| 1780227959 | AIRIAN CYARA ABAD | Behavior Technician | PO BOX 5157,
MODESTO, CA, United States |
21-Oct-2019 |
| 1477105914 | ABALANCE MARRIAGE AND FAMILY INC. | PACE Provider Organization | 2930 GEER RD # 179,
TURLOCK, CA, United States |
15-Jul-2019 |
| 1215055900 | KATHRYN S. ABANATHIE | Marriage & Family Therapist | 1604 FORD AVE,
SUITE 1 MODESTO, CA, United States |
27-Mar-2007 |
| 1962125955 | STEPHANY ABARCA | Behavior Technician | PO BOX 5157,
MODESTO, CA, United States |
23-Sep-2022 |
| 1336136548 | HUMAYUN ABBAS | Internal Medicine | 1541 FLORIDA AVE,
SUITE 200 MODESTO, CA, United States |
03-Oct-2005 |
| 1275151508 | MUHAMMAD MUJTABA ABBAS | Assistant Behavior Analyst | PO BOX 5157,
MODESTO, CA, United States |
13-Jul-2020 |
| 1205819042 | MICHAEL YOUSIF ABBO | Emergency Medicine | 4301 NORTHSTAR WAY,
MODESTO, CA, United States |
25-Nov-2005 |
| 1265565089 | CATHY LYNN ABBOTT | Marriage & Family Therapist | 2937 VENEMAN AVE STE B240,
MODESTO, CA, United States |
13-Mar-2007 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1508868787?1508868787 is the NPI number of CHANG S JOO.
What is the specialty for CHANG S JOO?The Specialty of CHANG S JOO is Internal Medicine.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|