| NPI | 1205061835 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2009-05-27 |
| Last Updated | 2020-05-13 |
| Mailing Address | 770 Magnolia Ave Ste 1k Corona, CA 92879-3122 United States Phone: (951) 738-0303 📍 View Map |
| Primary Practice Address | 770 Magnolia Ave Ste 1k Corona, CA 92879-3122 United States Phone: (951) 738-0303 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | IL | 728780020 | Medicare PTAN |
| Other (non-Medicare) | CA | P02038898 | Medicare PTAN |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | CA | A106116 |
| No | 207Q00000X – Family Medicine | IL | 036125294 |
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About NPI 1205061835
Stephanie Jamie Changchien M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1205061835. The primary specialty listed is Family Medicine. The provider is located in Corona, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-05-27. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1205061835?
NPI 1205061835 belongs to Stephanie Jamie Changchien M.D., a Family Medicine in Corona, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1205061835 active?
The current status of NPI 1205061835 in the NPPES registry is Active. The record was last updated on 2020-05-13.
What specialty is NPI 1205061835?
NPI 1205061835 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1205061835?
You can verify NPI 1205061835 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1205061835?
The primary practice address on file for NPI 1205061835 is 770 Magnolia Ave Ste 1k, Corona, CA 92879-3122. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1205061835 issued?
NPI 1205061835 was first issued (enumerated) on 2009-05-27. The NPPES record was last updated on 2020-05-13.
Practice Location Map
Stephanie Jamie Changchien is located at 770 Magnolia Ave Ste 1k, Corona, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Stephanie Jamie Changchien. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1205061835. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | A106116 | CA |
| Family Medicine | 036125294 | IL |