Individual provider Active NPI

Steven David Chang, M.D.

  • Ophthalmology Physician
  • Ventura, CA
National Provider Identifier
1174598239
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G79197 Issued in CA
Practice address
3160 Telegraph Rd
Suite 102
Ventura, CA 93003-3233
Phone
(805) 644-7312
Fax
(805) 644-1584
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G79197 CA Primary

Addresses

Primary practice location

3160 Telegraph Rd
Suite 102
Ventura, CA 93003-3233

Mailing address

3160 Telegraph Rd
Suite 102
Ventura, CA 93003-3233
Phone (805) 644-7312

Other identifiers 1

IdentifierTypeStateIssuer
00G791970MedicaidCA

Medicare participation

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

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
21.49 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G79197CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Eye Specialists Medical Group Inc Ophthalmology PastSince Mar 22, 1999 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: stevendchangmdinc.stevenchang@119249.advancedmd-direct.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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1174598239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 TELEGRAPH RD",
            "address_2": "SUITE 102",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033233",
            "telephone_number": "805-644-7312",
            "fax_number": "805-644-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 TELEGRAPH RD",
            "address_2": "SUITE 102",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033233",
            "telephone_number": "805-644-7312",
            "fax_number": "805-644-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "STEVEN",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G79197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G791970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.