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DIANA CHANG
NPI 1902546492
Student in an Organized Health Care Education/Training Program in San Marino, CA

Active since March 31, 2022PECOS Enrolled
2125 ROANOKE RD, SAN MARINO, CA 91108(626) 833-2422 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diana Chang NPPES

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

DIANA CHANG (NPI 1902546492) is an individual student in an organized health care education/training program in San Marino, California and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902546492
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDIANA CHANG
Location Address2125 ROANOKE RDSan Marino, CA 91108-2632
Mailing Address2125 Roanoke RdSan Marino, CA 91108-2632 · (626) 833-2422
Phone(626) 833-2422
Sole ProprietorYes
Enumeration DateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
✔ NPI 1902546492 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.
2125 ROANOKE RD, San Marino, CA 91108
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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)

Diana Chang is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Diana Chang's NPI number?

The NPI number for Diana Chang is 1902546492. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Diana Chang located?

Diana Chang practices at 2125 Roanoke Rd, San Marino, CA 91108. The listed phone number is (626) 833-2422.

What is Diana 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 Diana Chang enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Diana Chang was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.