Stephanie Jamie Changchien, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A106116 Issued in CA

Practice address

770 Magnolia Ave Ste 1K
Corona, CA 92879-3122

Phone

(951) 738-0303

NPI assigned

May 27, 2009

Last updated

May 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Miss Stephanie Jamie Yen Former name

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

Specialty

Family Practice

Education

Northwestern University Feinberg Medical School, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rupal B, Shah, MD., IncGroup PAC ID 0840349304, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FAAIBA/Endpoint/FAAIBA
• Direct secure messaging: schangchien@asm-ca.direct.office.nextgen.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rupal B, Shah, MD., Inc

  • Family Medicine Physician
  • Corona, CA
  • NPI 1144483611
  Medicare reassignment Care Compare group NPD
• Uhs Corona Inc

  dba Corona Regional Medical Center

  • Rehabilitation Hospital Unit
  • Corona, CA
  • NPI 1255327920
  NPD (past)

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1205061835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 MAGNOLIA AVE STE 1K",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793122",
            "telephone_number": "951-738-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 MAGNOLIA AVE STE 1K",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793122",
            "telephone_number": "951-738-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANGCHIEN",
        "first_name": "STEPHANIE",
        "middle_name": "JAMIE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A106116",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036125294",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "728780020",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "P02038898",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "YEN",
            "middle_name": "JAMIE",
            "prefix": "MISS",
            "credential": "M. D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sasha Chaney-Siah
• Autumn Chang, DNP
• Connie Chang, RPH
• Philip Chang, D.D.S.
• Robert Chang, M.D.
• Catherine Chao
• Melyssa Chao
• Maria Chapa
• Samantha Chapa
• Sarah Chapa

• Family Medicine Physician in Corona, CA
• Providers in Corona, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.