Individual provider Active NPI

Andrew Chang, M.D.

  • Ophthalmology Physician
  • Northridge, CA
National Provider Identifier
1003808494
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G61183 Issued in CA
Practice address
18350 Roscoe Blvd
Suite 101
Northridge, CA 91325-4109
Phone
(818) 349-8300
Fax
(818) 349-2214
NPI assigned
Aug 22, 2005
Last updated
Apr 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G61183 CA Primary

Addresses

Primary practice location

18350 Roscoe Blvd
Suite 101
Northridge, CA 91325-4109

Mailing address

18350 Roscoe Blvd
Suite 101
Northridge, CA 91325-4109
Phone (818) 349-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051103000687 CA Practitioner - Ophthalmology 8224056783 Reassigns benefits to 1 organization
Practice locations: Northridge, CA
O20100930045425 CA DME Supplier - Physician - Ophthalmology 8022137041 Practice locations: Northridge, CA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Geffen School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18350 Roscoe Blvd
Northridge, CA 91325-4145
Phone (818) 349-8300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61183CAMDClinical Social Worker
G61183CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eng and Chang Partnership Ophthalmology CurrentSince Aug 1, 2010 Accepting new patients
Dignity Community Care Past Accepting new patients
David M Shultz M D , Inc Ophthalmology Past Accepting new patients

Locations

850 S Atlantic Blvd
Ste 301
Monterey Park, CA 91754
Phone (626) 289-7699

625 S Fair Oaks Ave
Ste 235
Pasadena, CA 91105
Phone (626) 796-7006

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1003808494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD",
            "address_2": "SUITE 101",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254109",
            "telephone_number": "818-349-8300",
            "fax_number": "818-349-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD",
            "address_2": "SUITE 101",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254109",
            "telephone_number": "818-349-8300",
            "fax_number": "818-349-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G61183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.