Active NPI
Pei Lin Chang, M.D.
- Pediatrics Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- N/A
- Practice address
- 455 S Main St
Orange, CA 92868-3835 - Phone
- (714) 558-2462
- NPI assigned
- Jun 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | N/A | CA | Primary |
Addresses
Primary practice location
455 S Main St
Orange, CA 92868-3835
Mailing address
297 N State College Blvd Apt 2100
Orange, CA 92868-1782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N/A | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California Irvine | Current | Accepting new patients | |
| UC Regents Uci Dept of Pediatrics | Pediatrics | Current | Accepting new patients |
| University of California Irvine | Current | Accepting new patients | |
| Children'S Hospital of Orange County | Past | Accepting new patients | |
| Bristol Park Medical Group, Inc | Pediatrics | Past | Accepting new patients |
| University of California Irvine | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
Locations
300 W Carl Karcher Way
Anaheim, CA 92801
Phone (657) 282-6356
2441 W La Palma Ave
Ste 100
Anaheim, CA 92801
Phone (657) 282-6356
19200 Jamboree Rd
Ste 2000
Irvine, CA 92612
Phone (949) 898-6000
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
455 S Main St
Orange, CA 92868
Phone (714) 289-4511
800 N Main St
Santa Ana, CA 92701
Phone (714) 456-6324
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Orange, CA
- NPI 1235187311
-
- Federally Qualified Health Center (FQHC)
- Anaheim, CA
- NPI 1598790529
-
- Pharmacy
- Irvine, CA
- NPI 1669344339
-
- Children's Hospital
- Orange, CA
- NPI 1811080526
-
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1417027475
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1003101569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "297 N STATE COLLEGE BLVD APT 2100",
"city": "ORANGE",
"state": "CA",
"postal_code": "928681782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 S MAIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683835",
"telephone_number": "714-558-2462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "PEI LIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-13",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "N/A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.