Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marcello Kendrew Chang, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053006460

Marcello Kendrew Chang, MD is a Student in an Organized Health Care Education/Training Program in San Jose, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

751 S Bascom Ave
San Jose, CA 95128-2604
Phone: (408) 885-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)

Record details

NPI number1053006460
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2023
Last updated in NPPESApril 11, 2023
Certification dateApril 11, 2023

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