Individual provider Active NPI

Dorrie E Fung Chang, MD

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1114952470
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A82050 Issued in CA
Practice address
8501 Wilshire Blvd Ste 150
Beverly Hills, CA 90211-3148
Phone
(310) 248-7090
Fax
(310) 248-7033
NPI assigned
Jul 12, 2006
Last updated
Jul 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A82050 CA Primary

Addresses

Primary practice location

8501 Wilshire Blvd Ste 150
Beverly Hills, CA 90211-3148

Mailing address

8501 Wilshire Blvd Ste 150
Beverly Hills, CA 90211-3148
Phone (310) 248-7090

Other identifiers 1

IdentifierTypeStateIssuer
00A820500MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A82050CAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: dchang127166@direct.cshs.org
  • Direct secure messaging: dorrie.chang@273753760464900.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1114952470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 WILSHIRE BLVD STE 150",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113148",
            "telephone_number": "310-248-7090",
            "fax_number": "310-248-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 WILSHIRE BLVD STE 150",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113148",
            "telephone_number": "310-248-7090",
            "fax_number": "310-248-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "DORRIE",
        "middle_name": "E FUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A82050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A820500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.