Individual provider Active NPI

Sylvia Lou Chang

  • Ophthalmology Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1053843458
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A187821 Issued in CA
Practice address
9170 Haven Ave Ste 102
Rancho Cucamonga, CA 91730-5416
Phone
(909) 440-1014
Fax
(909) 440-1015
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 21409 NV
Ophthalmology Physician 207W00000X A187821 CA Primary

Addresses

Primary practice location

9170 Haven Ave Ste 102
Rancho Cucamonga, CA 91730-5416

Mailing address

14726 Ramona Ave Ste 203
Chino, CA 91710-5730
Phone (626) 305-9100

Other practice location 1

150 S Grand Ave Ste J
Glendora, CA 91741-4716
Phone (626) 335-2114

Other practice location 2

207 S Santa Anita St Ste P25
San Gabriel, CA 91776-1145
Phone (626) 200-1277

Other names 1

  • Lou Zhang Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231010002001 CA Practitioner - Ophthalmology 0840696860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wright State University Boonshoft School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Azul Vision IncGroup PAC ID 2264851740, 49 clinicians
California Eye Specialists Medical Group IncGroup PAC ID 6800793381, 26 clinicians

Practice addresses (Care Compare)

150 S Grand Ave
Suite J
Glendora, CA 91741-4716
Phone (626) 335-2114

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A187821CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Eye Specialists Medical Group, Inc CurrentSince Sep 26, 2023 Accepting new patients
Azul Vision Inc. Ophthalmology CurrentSince Jun 12, 2024 Accepting new patients
Dignity Health Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Eyecare Specialists Medical Group, Inc Ophthalmology Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

831 Highland Springs Ave
Ste 300
Beaumont, CA 92223
Phone (951) 769-0079

14726 Ramona Ave
Ste 203
Chino, CA 91710
Phone (626) 305-9100

12442 Limonite Ave
Unit 203
Eastvale, CA 91752
Phone (951) 821-5188

150 S Grand Ave
Ste J
Glendora, CA 91741
Phone (626) 335-2114

7677 Center Ave
Ste 301
Huntington Beach, CA 92647
Phone (714) 901-2004

81767 Doctor Carreon Blvd
Ste 101
Indio, CA 92201
Phone (760) 342-5268

2600 Redondo Ave
Ste 203
Long Beach, CA 90806
Phone (562) 496-3600

2619 E Colorado Blvd
#150
Pasadena, CA 91107
Phone (626) 305-9100

9170 Haven Ave
Ste 102
Rch Cucamonga, CA 91730
Phone (909) 440-1014

207 S Santa Anita St
Ste P25
San Gabriel, CA 91776
Phone (626) 200-1277

399 E Highland Ave
Ste 401
Sn Bernrdno, CA 92404
Phone (909) 327-3118

494 N Mountain Ave
Upland, CA 91786
Phone (909) 552-7200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sylvia.chang.p1@direct.atlantiseyecare.nextgenshare.com
  • Direct secure messaging: schang@californiaeye.intellechartdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1053843458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14726 RAMONA AVE STE 203",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105730",
            "telephone_number": "626-305-9100",
            "fax_number": "626-305-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9170 HAVEN AVE STE 102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305416",
            "telephone_number": "909-440-1014",
            "fax_number": "909-440-1015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 S Grand Ave Ste J",
            "address_purpose": "LOCATION",
            "city": "Glendora",
            "state": "CA",
            "postal_code": "917414716",
            "country_code": "US",
            "telephone_number": "626-335-2114",
            "fax_number": "626-963-6497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 S Santa Anita St Ste P25",
            "address_purpose": "LOCATION",
            "city": "San Gabriel",
            "state": "CA",
            "postal_code": "917761145",
            "country_code": "US",
            "telephone_number": "626-200-1277",
            "fax_number": "626-200-1278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "SYLVIA",
        "middle_name": "LOU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "21409",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A187821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOU",
            "last_name": "ZHANG",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.