Active NPI
Yuchi C Chang, M.D.
- Dermatology Physician
- Pasadena, CA
National Provider Identifier
1083804439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A94740
- Practice address
- 401 S. Fair Oaks Ave
Pasadena, CA 91108 - Phone
- (626) 405-7221
- NPI assigned
- Jul 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A94740 | CA | Primary |
Addresses
Primary practice location
401 S. Fair Oaks Ave
Pasadena, CA 91108
Mailing address
PO Box 629
Pasadena, CA 91102-0629
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1809 Verdugo Blvd
Glendale, CA 91208-1402
Phone (818) 658-2300
3600 N Verdugo Rd
Suite 210
Glendale, CA 91208-1258
Phone (818) 658-2300
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 99.39
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 235 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 133 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A94740 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Su and Chang Dermatology Associates, Apmc | Dermatology | Current | Accepting new patients |
| Memorial Medical Group Inc | Past | Accepting new patients | |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients |
Locations
3600 N Verdugo Rd
Ste 210
Glendale, CA 91208
Phone (310) 528-5199
1809 Verdugo Blvd
Ste 140
Glendale, CA 91208
Phone (818) 658-2300
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.
-
- Dermatology Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1083804439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 629",
"city": "PASADENA",
"state": "CA",
"postal_code": "911020629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S. FAIR OAKS AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "91108",
"telephone_number": "626-405-7221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "YUCHI",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-31",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A94740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.