Provider Demographics
NPI:1245633825
Name:CHANG, CELESTE SHARON (MD, FACP)
Entity type:Individual
Prefix:DR
First Name:CELESTE
Middle Name:SHARON
Last Name:CHANG
Suffix:
Gender:F
Credentials:MD, FACP
Other - Prefix:DR
Other - First Name:YU
Other - Middle Name:MEI
Other - Last Name:CHANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, FACP
Mailing Address - Street 1:728 PACIFIC AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-4457
Mailing Address - Country:US
Mailing Address - Phone:415-391-9686
Mailing Address - Fax:415-397-1494
Practice Address - Street 1:728 PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94133-4457
Practice Address - Country:US
Practice Address - Phone:415-391-9686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-26
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC1802850207RN0300X
NY228743207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology