Individual provider Active NPI

Wesley John Chang, M.D.

  • Internal Medicine Physician
  • Anaheim, CA
National Provider Identifier
1174593453
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G44205 Issued in CA
Practice address
6200 E Canyon Rim Rd
Ste 103a
Anaheim, CA 92807-4313
Phone
(714) 974-8130
Fax
(714) 974-6811
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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 G44205 CA Primary

Addresses

Primary practice location

6200 E Canyon Rim Rd
Ste 103a
Anaheim, CA 92807-4313

Mailing address

6200 E Canyon Rim Rd
Ste 103a
Anaheim, CA 92807-4313
Phone (714) 974-8130

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
I20120409000052 CA Practitioner - Internal Medicine 3274794888 Practice locations: Anaheim, CA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
17.99 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
59.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G44205CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oc Wellcare MD PC PastSince Aug 11, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wesley.chang.1@14396.direct.athenahealth.com

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1174593453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 E CANYON RIM RD",
            "address_2": "STE 103A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074313",
            "telephone_number": "714-974-8130",
            "fax_number": "714-974-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 E CANYON RIM RD",
            "address_2": "STE 103A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074313",
            "telephone_number": "714-974-8130",
            "fax_number": "714-974-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "WESLEY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G44205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.