Active NPI
Patricia Chang, MD
- Pediatrics Physician
- Los Altos, CA
National Provider Identifier
1104960756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A60770
- Practice address
- 842 Altos Oaks Dr
Los Altos, CA 94024-5403 - Phone
- (650) 941-0550
- Fax
- (650) 941-6751
- NPI assigned
- Feb 16, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A60770 | CA | Primary |
Addresses
Primary practice location
842 Altos Oaks Dr
Los Altos, CA 94024-5403
Mailing address
842 Altos Oaks Dr
Los Altos, CA 94024-5403
Phone (650) 941-0550
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220513000477 | CA | Practitioner - Pediatric Medicine | 4082091012 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A60770 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LPCH Medical Group Div of Lucile | Pediatrics | Current | Accepting new patients |
Locations
842 Altos Oaks Dr
Los Altos, CA 94024
Phone (650) 941-0550
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
Organizations & group practices 1
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": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104960756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "842 ALTOS OAKS DR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940245403",
"telephone_number": "650-941-0550",
"fax_number": "650-941-6751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "842 ALTOS OAKS DR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940245403",
"telephone_number": "650-941-0550",
"fax_number": "650-941-6751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "PATRICIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A60770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Altos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.