Individual provider Active NPI

Daniel W Chang, MD

  • Neurology Physician
  • Los Angeles, CA
National Provider Identifier
1194761841
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A61662 Issued in CA
Practice address
201 S Alvarado St
#200
Los Angeles, CA 90057-2320
Phone
(213) 484-6000
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A61662 CA Primary

Addresses

Primary practice location

201 S Alvarado St
#200
Los Angeles, CA 90057-2320

Mailing address

201 S Alvarado St
#200
Los Angeles, CA 90057-2320
Phone (213) 484-6000

Other identifiers 1

IdentifierTypeStateIssuer
00A616620MedicaidCA

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
I20050103001044 CA Practitioner - Neurology 5698733988 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Southern California Keck School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 S Virgil Ave
Suite 503
Los Angeles, CA 90020-1404
Phone (213) 484-6000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
96.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61662CAMDPharmacist
A61662CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: drdanielchang@danielchangmd.ssdirect.aprima.com

Organizations & group practices 3

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1194761841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S ALVARADO ST",
            "address_2": "#200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572320",
            "telephone_number": "213-484-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ALVARADO ST",
            "address_2": "#200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572320",
            "telephone_number": "213-484-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "DANIEL",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A61662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A616620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.