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ALLISSA VIVIENNE ZHEN DUR CHANG OD
NPI 1689473811
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 11, 2025PECOS Enrolled
351 E TEMPLE ST, LOS ANGELES, CA 90012(213) 253-2677(213) 253-5123 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Allissa Vivienne Zhen Dur Chang Od NPPES

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

ALLISSA VIVIENNE ZHEN DUR CHANG OD (NPI 1689473811) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (2025).

NPPES Registry Identity

NPI1689473811
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALLISSA VIVIENNE ZHEN DUR CHANGCredential: OD
Location Address351 E TEMPLE STLos Angeles, CA 90012-3328
Mailing Address811 Roanoke RdSan Marino, CA 91108-2437 · (626) 679-5899
Phone(213) 253-2677
Fax(213) 253-5123
Sole ProprietorNo
Medical School CMSUniversity Of California - School Of OptometryGraduated 2025
Enumeration DateMarch 11, 2025
NPPES CertifiedMarch 10, 2025
✔ NPI 1689473811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
351 E TEMPLE ST, Los Angeles, CA 90012
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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)

Allissa Vivienne Zhen Dur Chang Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244702603
PECOS Enrollment IDI20260616004563
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.

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.

LUIS ARMANDO ESPANA JR. ACSW
Social Worker
351 E TEMPLE ST
LOS ANGELES, CA 90012
Los Angeles County (213) 440-8713
DR. KIMBERLY KELLY M.D.
Psychiatry & Neurology (Neurology)
351 E TEMPLE ST
LOS ANGELES, CA 90012
Los Angeles County (213) 253-2677
LA VETERANS AFFAIRS
Clinic/Center (VA)
351 E TEMPLE ST
LOS ANGELES, CA 90012
Los Angeles County (213) 253-2677
MR. JOEL STOUP LCSW
Social Worker (Clinical)
351 E TEMPLE ST
LOS ANGELES, CA 90012
Los Angeles County (213) 253-2677
DR. BRITTANY NICKELS PSY.D.
Psychologist (Clinical)
351 E TEMPLE ST, HOME-BASED PRIMARY CARE, RM A127A
LOS ANGELES, CA 90012
Los Angeles County (310) 810-5136
DR. CHANG H KIM OD
Optometrist
351 E TEMPLE ST
LOS ANGELES, CA 90012
Los Angeles County (213) 253-2677
MRS. MARIALENA JOANNE NICHOLS R.N.
Registered Nurse (Case Management)
351 E TEMPLE ST
LOS ANGELES, CA 90012
Los Angeles County (213) 253-2677
SOUTHERN CALIFORNIA MEDICAL GASTROENTEROLOGY GROUP, INC
Clinic/Center (Ambulatory Surgical)
351 E TEMPLE ST
LOS ANGELES, CA 90012
Los Angeles County (310) 829-6789

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 Allissa Chang's NPI number?

The NPI number for Allissa Chang is 1689473811. It was assigned to this individual provider in the NPPES registry on March 11, 2025.

Where is Allissa Chang located?

Allissa Chang practices at 351 E Temple St, Los Angeles, CA 90012. The listed phone number is (213) 253-2677.

What is Allissa Chang's specialty?

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

Is Allissa Chang enrolled in Medicare?

Yes. Allissa Chang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Allissa Chang was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.