Individual provider Active NPI

Kaylinne Allison Chang, NP

  • Family Nurse Practitioner
  • Yorba Linda, CA
National Provider Identifier
1083029292
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95000845 Issued in CA
Practice address
18080 Imperial Hwy
Yorba Linda, CA 92886-3436
Phone
(714) 961-1054
NPI assigned
Jun 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95000845 CA Primary

Addresses

Primary practice location

18080 Imperial Hwy
Yorba Linda, CA 92886-3436

Mailing address

9052 Central Ave
Montclair, CA 91763-1621
Phone (909) 399-3976

Other practice location 1

8607 Irvine Center Dr
Irvine, CA 92618-4219
Phone (949) 557-0600

Other identifiers 2

IdentifierTypeStateIssuer
1912919804OtherCATYPE 2 NPI
755811OtherCARN MEDICAL LICENSE

Other names 1

  • Kaylinne Allison Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95000845CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Aug 23, 2021 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 23, 2021 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Family CurrentSince Jan 9, 2020 Accepting new patients
Hoag Clinic CurrentSince Mar 1, 2019 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 23, 2021 Accepting new patients

Locations

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

8607 Irvine Center Dr
Irvine, CA 92618
Phone (949) 551-0600

6340 Irvine Blvd
Irvine, CA 92620
Phone (949) 559-6500

4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784

9052 Central Ave
Montclair, CA 91763
Phone (909) 447-6785

11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098

10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000

1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533

1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3154

18080 Imperial Hwy
Yorba Linda, CA 92886
Phone (714) 504-4665

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1083029292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9052 CENTRAL AVE",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631621",
            "telephone_number": "909-399-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18080 IMPERIAL HWY",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863436",
            "telephone_number": "714-961-1054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8607 Irvine Center Dr",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926184219",
            "country_code": "US",
            "telephone_number": "949-557-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "KAYLINNE",
        "middle_name": "ALLISON",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1912919804",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN MEDICAL LICENSE",
            "identifier": "755811",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLINNE",
            "last_name": "ALLISON",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yorba Linda, CA

Sources for this page

Verify at the official NPI Registry.