ALEXANDER CHANG NPI 1336501931

Family Medicine in Las Vegas, NV

Individual Male Family Medicine PECOS Enrolled

About ALEXANDER CHANG

Alexander Chang is a provider established in Las Vegas, Nevada and his medical specialization is family medicine. The NPI number of Alexander Chang is 1336501931 and was assigned on March 2016. The practitioner's primary taxonomy code is 207Q00000X with license number 19104 (NV). The provider is registered as an individual and his NPI record was last updated October 2019. Alexander Chang is enrolled in PECOS.

NPI

1336501931

Provider Name ALEXANDER CHANG
Provider Location Address5785 CENTENNIAL CENTER BLVD. STE. 190 LAS VEGAS, NV 89149
Provider Mailing Address1800 W. CHARLESTON BLVD. STE. 508 LAS VEGAS, NV 89102
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date03-23-2016
Last Update Date10-10-2019

Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.19104
License StateNV
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

ALEXANDER CHANG
5785 CENTENNIAL CENTER BLVD. STE. 190
LAS VEGAS, NV
ZIP 89149
Phone: (702) 383-6270
Fax: (702) 395-3023

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Mailing Address

ALEXANDER CHANG
1800 W. CHARLESTON BLVD. STE. 508
LAS VEGAS, NV
ZIP 89102
Phone: (702) 383-2688

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265954283 ELIZABETH AGUILAR PA-C
Individual
Physician Assistant (Medical)5785 CENTENNIAL CENTER BLVD. STE. 190
LAS VEGAS, NV 89149
(702) 383-6270
1649322348 RICHARD D LIEBER MD
Individual
Family Medicine5785 CENTENNIAL CENTER BLVD. STE. 190
LAS VEGAS, NV 89149
(702) 383-6270

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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