Kristina Eunjeong Chang, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

EL6769 Issued in CA

Practice address

3700 E South Street
Lakewood, CA 90805

Phone

(562) 531-2550

NPI assigned

Jul 13, 2016

Last updated

Jul 13, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oc Foot and Ankle Associates IncGroup PAC ID 6305172487, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Foothill Regional Medical Center Hospital, Tustin, CA, CCN 050780

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Oc Foot and Ankle Associates, Inc

  • Foot & Ankle Surgery Podiatrist
  • Tustin, CA
  • NPI 1407413008
  Medicare reassignment Care Compare group NPD
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1235283094
  Medicare reassignment NPD
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Stanton, CA
  • NPI 1174757967
  NPD
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Upland, CA
  • NPI 1174996318
  NPD
• Oc Foot and Ankle Associates Inc

  • Podiatrist
  • Anaheim, CA
  • NPI 1851275440
  NPD
• Alta Newport Hospital, LLC

  dba Foothill Regional Medical Center

  • General Acute Care Hospital
  • Tustin, CA
  • NPI 1043632938
  NPD (past)
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • El Monte, CA
  • NPI 1972912236
  NPD (past)
• Oc Foot and Ankle Associates, Inc

  • Podiatrist
  • Downey, CA
  • NPI 1881286763
  NPD (past)
• University of California Irvine

  dba UCI Health Lakewood

  • General Acute Care Hospital
  • Lakewood, CA
  • NPI 1184655581
  NPD (past)

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

• Alta Newport Hospital, LLC

  dba Foothill Regional Medical Center

  • General Acute Care Hospital
  • Tustin, CA
  • NPI 1043632938
  Care Compare affiliation

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1043662158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5279 E THE TOLEDO",
            "address_2": "#4",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908031862",
            "telephone_number": "661-863-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 E SOUTH STREET",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "90805",
            "telephone_number": "562-531-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "KRISTINA",
        "middle_name": "EUNJEONG",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "EL6769",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "EL6769",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "EL6769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizbeth Ceron
• Christopher Chaffin, MA
• Hoi Chan
• John Chan, DPM
• Lisa M Chan, L.AC.
• Angela Chao Spicer
• James M Chapman, DO
• Tracy Chase
• Vinita Chaudhary, MD
• Alexa Chavez

• Foot & Ankle Surgery Podiatrist in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.