Active NPI
Won Ho Chang, DPM
- Foot & Ankle Surgery Podiatrist
- Irvine, CA
National Provider Identifier
1073012720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E5908
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C31877880004751 | Other | NJ | PODIATRY |
Other names 1
- Dr. Ryan Chang
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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Removal of tissue | 159 |
| Removal of skin lesions | 153 |
| Removal of nail tissue | 1024 |
| Removal or shaving of skin growth | 828 |
| Skin biopsy | 74 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P84589 | NY | MD | Podiatrist |
| E5908 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan Chang, DPM, Inc. | Single Specialty | Current | 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.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.