MR. KYUNGMIN CHANG MA
NPI 1891448379
Counselor - Mental Health in San Jose, CA

Active since February 03, 2022
3880 S BASCOM AVE STE 202, SAN JOSE, CA 95124(408) 478-3313 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2023, Feb 3, 2022 (2 updates tracked since 2022).

About Mr. Kyungmin Chang Ma NPPES

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

MR. KYUNGMIN CHANG MA (NPI 1891448379) is an individual mental health provider in San Jose, California and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1891448379
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KYUNGMIN CHANGCredential: MA
Location Address3880 S BASCOM AVE STE 202San Jose, CA 95124-2675
Mailing Address3880 S Bascom Ave Ste 202San Jose, CA 95124-2675
Sole ProprietorYes
Enumeration DateFebruary 3, 2022
Last NPPES UpdateApril 11, 20232 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
NPI 1891448379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3880 S BASCOM AVE STE 202, San Jose, CA 95124

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.

Counselor (Mental Health)
3880 S BASCOM AVE STE 202
SAN JOSE, CA 95124
Marriage & Family Therapist
3880 S BASCOM AVE STE 202
SAN JOSE, CA 95124
Marriage & Family Therapist
3880 S BASCOM AVE STE 202
SAN JOSE, CA 95124
Marriage & Family Therapist
3880 S BASCOM AVE STE 202
SAN JOSE, CA 95124
Marriage & Family Therapist
3880 S BASCOM AVE STE 202
SAN JOSE, CA 95124
Counselor (Mental Health)
3880 S BASCOM AVE STE 202
SAN JOSE, CA 95124
Marriage & Family Therapist
3880 S BASCOM AVE STE 202
SAN JOSE, CA 95124
Counselor (Mental Health)
3880 S BASCOM AVE STE 202
SAN JOSE, CA 95124

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 Kyungmin Chang's NPI number?

The NPI number for Kyungmin Chang is 1891448379. It was assigned to this individual provider in the NPPES registry on February 3, 2022.

Where is Kyungmin Chang located?

Kyungmin Chang practices at 3880 S Bascom Ave Ste 202, San Jose, CA 95124. The listed phone number is (408) 478-3313.

What is Kyungmin Chang's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kyungmin Chang was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.