SHICHANG HAO MD
NPI 1104554856
Pediatrics in Clearlake, CA

Q: What is Shichang Hao's NPI number?

The NPI number for Shichang Hao is 1104554856. It was assigned to this individual provider in the NPPES registry on August 10, 2022.

Q: What is Shichang Hao's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Shichang Hao was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 10, 2022PECOS Enrolled

15230 LAKESHORE DR, CLEARLAKE, CA 95422(707) 995-4530(707) 995-4560 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2025, Aug 16, 2022, Aug 10, 2022 (3 updates tracked since 2022).

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About Shichang Hao Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHICHANG HAO MD (NPI 1104554856) is an individual pediatrics provider in Clearlake, California, licensed in California (201500) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104554856

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameSHICHANG HAOCredential: MD

Location Address15230 LAKESHORE DRClearlake, CA 95422-8107

Mailing Address15230 Lakeshore DrClearlake, CA 95422-8107 · (707) 995-4530 · Fax (707) 995-4560

Phone(707) 995-4530

Fax(707) 995-4560

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 10, 2022

Last NPPES UpdateJune 20, 20253 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1104554856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · 201500

Definition

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.

15230 LAKESHORE DR, Clearlake, CA 95422

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shichang Hao Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719495068

PECOS Enrollment IDI20250806002360

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95422 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AILEEN ELIZABETH KLEIN LCSW

Social Worker (Clinical)