Individual provider Active NPI

Yuchi C Chang, M.D.

  • Dermatology Physician
  • Pasadena, CA
National Provider Identifier
1083804439
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A94740 Issued in CA
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

Updated by the provider on Nov 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071009000724 CA Practitioner - Dermatology 6608962493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Su and Chang Dermatology Associates ApmcGroup PAC ID 2062641103, 3 clinicians

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 100Reported as group
Quality
99.39
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions235
Removal of nail tissue1-10
Skin biopsy133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A94740CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Su and Chang Dermatology Associates, Apmc Dermatology CurrentSince Aug 7, 2009 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.

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

Verify at the official NPI Registry.