Organization Active NPI

Steven D Chang MD Inc

  • Ophthalmology Physician
  • Ventura, CA
National Provider Identifier
1205031333
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
STEVEN D CHANG MD INC
Practice address
3160 Telegraph Rd
Suite 102
Ventura, CA 93003-3233
Phone
(805) 644-7312
Fax
(805) 644-1584
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Steven D Chang, MD
Title
Ceo
Phone
(805) 644-7312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 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

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1205031333",
    "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": {
        "organization_name": "STEVEN D CHANG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-644-7312",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "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 Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.