Individual provider Active NPI

Ryan Chang

  • Medical Oncology Physician
  • San Mateo, CA
National Provider Identifier
1164985263
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
A179941 Issued in CA
Practice address
218 De Anza Blvd
San Mateo, CA 94402-3913
Phone
(415) 514-7520
NPI assigned
Apr 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X A179941 CA Primary

Addresses

Primary practice location

218 De Anza Blvd
San Mateo, CA 94402-3913

Mailing address

1 Hawthorne St Unit 20F
San Francisco, CA 94105-3983
Phone (415) 937-3662

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
I20241010000972 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 2466849237 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Current Accepting new patients
Regents of the University of California Medical Oncology CurrentSince Aug 1, 2024 Accepting new patients
UCSF Medical Group Business Services Medical Oncology CurrentSince Aug 1, 2024 Accepting new patients
University of California San Francisco CurrentSince Aug 1, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Aug 1, 2024 Accepting new patients
University of California San Francisco CurrentSince Aug 1, 2024 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

505 Parnassus Ave
#M1480
San Francisco, CA 94143
Phone (415) 476-1528

500 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-4562

2001 The Embarcadero
Ofc Of
San Francisco, CA 94143
Phone (628) 224-5503

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

218 De Anza Blvd
San Mateo, CA 94402
Phone (650) 341-9131

Interoperability endpoints

  • Direct secure messaging: rchang69730@direct-ucsfmedicalcenter.org

Organizations & group practices 8

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": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1164985263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HAWTHORNE ST UNIT 20F",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941053983",
            "telephone_number": "415-937-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 DE ANZA BLVD",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023913",
            "telephone_number": "415-514-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-08",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A179941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.