Individual provider Active NPI

Kay-Won Chang

  • Cardiovascular Disease Physician
  • Dublin, CA
National Provider Identifier
1205213410
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A144085 Issued in CA
Practice address
4000 Dublin Blvd
3Rd Floor
Dublin, CA 94568
Phone
(510) 498-2178
NPI assigned
Apr 27, 2015
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A144085 CA Primary

Addresses

Primary practice location

4000 Dublin Blvd
3Rd Floor
Dublin, CA 94568

Mailing address

3200 Kearney Street
Building 2, 1St Floor
Fremont, CA 94538

Other practice location 1

3200 Kearney Street
Building 2, 1st Floor
Fremont, CA 94538
Phone (619) 543-6268

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
I20191111002470 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7618309717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Texas Medical School at Houston, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

100 N Milpitas Blvd
Milpitas, CA 95035-4499
Phone (800) 478-8837

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 797-1111

3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222

370 Distel Cir
Los Altos, CA 94022-1404
Phone (650) 254-5200

4050 Dublin Blvd
Dublin, CA 94568-3112
Phone (925) 875-6100

460 Market PL
San Ramon, CA 94583-4745
Phone (925) 803-4780

7683 Southfront Rd
Livermore, CA 94551-8241
Phone (800) 478-8837

915 San Ramon Valley Blvd
Danville, CA 94526-4062
Phone (925) 875-3750

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A144085CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Sep 13, 2021 Accepting new patients
Washington Township Hospital District Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Sep 13, 2021 Accepting new patients
Washington Township Hospital District CurrentSince Dec 24, 2021 Accepting new patients
Sutter East Bay Medical Foundation Cardiovascular Disease Past Accepting new patients

Locations

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

4000 Dublin Blvd
Fl 3
Dublin, CA 94568
Phone (510) 498-2178

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

3200 Kearney St
Bldg 2
Fremont, CA 94538
Phone (510) 498-1222

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Interoperability endpoints

  • Direct secure messaging: kchang588321@hisp.ehr.sutterhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1205213410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 KEARNEY STREET",
            "address_2": "BUILDING 2, 1ST FLOOR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 DUBLIN BLVD",
            "address_2": "3RD FLOOR",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "94568",
            "telephone_number": "510-498-2178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Kearney Street",
            "address_2": "Building 2, 1st Floor",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "94538",
            "country_code": "US",
            "telephone_number": "619-543-6268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "KAY-WON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-27",
        "last_updated": "2021-08-25",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A144085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

Verify at the official NPI Registry.