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

Shichang Hao, MD

Individual provider Pediatrics Physician · NPI 1104554856

Shichang Hao, MD is a Pediatric Medicine in Clearlake, California. Qualified in 2019, 7 years ago. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2022
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

15230 Lakeshore Dr
Clearlake, CA 95422-8107
Phone: (707) 995-4530
Fax: (707) 995-4560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 201500 (CA)

Record details

NPI number1104554856
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 10, 2022
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
Mailing address15230 Lakeshore Dr, Clearlake, CA 95422-8107

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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