Individual provider Active NPI

Albert James Chang, MD PHD

  • Radiation Oncology Physician
  • Los Angeles, CA
National Provider Identifier
1104089267
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A121359 Issued in CA
Practice address
200 Medical Plaza
Suite B265
Los Angeles, CA 90024-0000
Phone
(310) 825-0128
NPI assigned
Jul 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X A121359 CA Primary

Addresses

Primary practice location

200 Medical Plaza
Suite B265
Los Angeles, CA 90024-0000

Mailing address

4921 Parkview Place
Department of Radiation Oncology
Saint Louis, MO 63110

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
I20120720000193 CA Practitioner - Radiation Oncology 2163688037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Boston University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 3274573464, 32 clinicians

Practice addresses (Care Compare)

200 UCLA Med Plaza
B265
Los Angeles, CA 90024-6951
Phone (310) 825-9304

Hospital & facility affiliations

  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262
  • Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Hospital, Santa Monica, CA, CCN 050112

Merit-based Incentive Payment System (MIPS)

Final score
78.28 of 100Reported as group
Quality
68.36
Promoting interoperability
100
Improvement activities
40
Cost
48.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
121359CAMDMental Health Counselor
A121359CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCLA Radiology Medical Group Single Specialty CurrentSince Jul 6, 2021 Accepting new patients
The Regents of the University of California Single Specialty CurrentSince Sep 1, 2017 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
University of California San Francisco Past Accepting new patients
UCLA Medical Group Past Accepting new patients

Locations

2400 Bahamas Dr
Bakersfield, CA 93309
Phone (661) 328-2333

3951 Katella Ave
Ste 102
Los Alamitos, CA 90720
Phone (562) 799-3196

200 UCLA Medical Plz
Ste B265
Los Angeles, CA 90095
Phone (310) 267-9099

1338 S Hope St
Ste A
Los Angeles, CA 90015

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

300 UCLA Medical Plz
Ste B130
Los Angeles, CA 90095
Phone (310) 206-0456

1223 16th St
Ste 1100
Santa Monica, CA 90404
Phone (310) 794-4733

100 Moody Ct
Thousand Oaks, CA 91360
Phone (805) 418-3500

27235 Tourney Rd
Ste 1400
Valencia, CA 91355
Phone (661) 253-5858

Interoperability endpoints

  • Direct secure messaging: achang553914@direct.uclahealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1104089267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 PARKVIEW PLACE",
            "address_2": "DEPARTMENT OF RADIATION ONCOLOGY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PLAZA",
            "address_2": "SUITE B265",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900240000",
            "telephone_number": "310-825-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ALBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A121359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.