Active NPI
Steven David Chang, M.D.
- Ophthalmology Physician
- Ventura, CA
National Provider Identifier
1174598239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G79197
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G791970 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 21.49 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 71.64
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G79197 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Eye Specialists Medical Group Inc | Ophthalmology | Past | Accepting new patients |
Interoperability endpoints
- 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.