Individual provider Active NPI

Won Ho Chang, DPM

  • Foot & Ankle Surgery Podiatrist
  • Irvine, CA
National Provider Identifier
1073012720
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5908 Issued in CA
Practice address
62 Corporate Park Ste 235
Irvine, CA 92606-3123
Phone
(949) 484-4405
Fax
(949) 368-2230
NPI assigned
Feb 8, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X P84589 NY
Foot & Ankle Surgery Podiatrist 213ES0103X E5908 CA Primary

Addresses

Primary practice location

62 Corporate Park Ste 235
Irvine, CA 92606-3123

Mailing address

46 Snapdragon
Irvine, CA 92604-2844
Phone (949) 484-4405

Other identifiers 1

IdentifierTypeStateIssuer
C31877880004751OtherNJPODIATRY

Other names 1

  • Dr. Ryan Chang Professional 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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814004641 CA Practitioner - Podiatry 3779816715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

62 Corporate Park
Suite 235
Irvine, CA 92606-3123
Phone (949) 484-4405

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Removal of tissue159
Removal of skin lesions153
Removal of nail tissue1024
Removal or shaving of skin growth828
Skin biopsy74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P84589NYMDPodiatrist
E5908CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Chang, DPM, Inc. Single Specialty CurrentSince Jul 5, 2023 Accepting new patients
Ryan Chang, DPM, Inc. Foot & Ankle Surgery Current Accepting new patients
Hoag Memorial Hospital Presbyterian Single Specialty Past Accepting new patients

Locations

62 Corporate Park
Ste 235
Irvine, CA 92606
Phone (949) 484-4405

15825 Laguna Canyon Rd
Ste 104
Irvine, CA 92618
Phone (714) 486-2586

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1073012720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 SNAPDRAGON",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926042844",
            "telephone_number": "949-484-4405",
            "fax_number": "949-368-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 CORPORATE PARK STE 235",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926063123",
            "telephone_number": "949-484-4405",
            "fax_number": "949-368-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "WON",
        "middle_name": "HO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-08",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "P84589",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRY",
            "identifier": "C31877880004751",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYAN",
            "last_name": "CHANG",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.