PETER Y. CHANG, M.D., PH.D., INC.
NPI 1265621114
Student in an Organized Health Care Education/Training Program in Riverside, CA

Active since October 17, 2007
3975 JACKSON ST, SUITE 102, RIVERSIDE, CA 92503(951) 359-0660 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter Y. Chang, M.d., Ph.d., Inc. NPPES

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

PETER Y. CHANG, M.D., PH.D., INC. (NPI 1265621114) is a healthcare organization registered as a student in an organized health care education/training program in Riverside, California and active in the NPI registry since October 2007. The organization lists Peter Y. Chang, President, as its authorized official.

NPPES Registry Identity

NPI1265621114
Entity TypeOrganization
Primary Taxonomy390200000X
Legal Business NamePETER Y. CHANG, M.D., PH.D., INC.
Location Address3975 JACKSON ST, SUITE 102Riverside, CA 92503-3901
Mailing Address3975 Jackson St, Suite 102Riverside, CA 92503-3901 · (951) 359-0660
Organization SubpartNo
Authorized OfficialPeter Y. ChangPresident · (951) 359-0660
Enumeration DateOctober 17, 2007
NPI 1265621114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CA · G42520
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3975 JACKSON ST, Riverside, CA 92503

Other Identifiers 1

Medicare UPINA49000CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Otolaryngology
3975 JACKSON ST, STE. 202
RIVERSIDE, CA 92503
Obstetrics & Gynecology (Obstetrics)
3975 JACKSON ST, STE. #110
RIVERSIDE, CA 92503
Obstetrics & Gynecology
3975 JACKSON ST, SUITE #208
RIVERSIDE, CA 92503
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3975 JACKSON ST, STE. 200
RIVERSIDE, CA 92503
Specialist
3975 JACKSON ST, SUITE 201
RIVERSIDE, CA 92503
Acupuncturist
3975 JACKSON ST, SUITE 2069
RIVERSIDE, CA 92503
Nurse Practitioner (Pediatrics)
3975 JACKSON ST
RIVERSIDE, CA 92503
Student in an Organized Health Care Education/Training Program
3975 JACKSON ST, SUITE 102
RIVERSIDE, CA 92503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Y. Chang, M.D., Ph.D., Inc.'s NPI number?

The NPI number for Peter Y. Chang, M.D., Ph.D., Inc. is 1265621114. It was assigned to this organization in the NPPES registry on October 17, 2007.

Where is Peter Y. Chang, M.D., Ph.D., Inc. located?

Peter Y. Chang, M.D., Ph.D., Inc. is located at 3975 Jackson St Suite 102, Riverside, CA 92503. The listed phone number is (951) 359-0660.

What is Peter Y. Chang, M.D., Ph.D., Inc.'s specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Peter Y. Chang, M.D., Ph.D., Inc. was last updated on October 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.