Active NPI
Dillon Young Chang, M.P.T.
- Physical Therapist
- Montebello, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT29155
- Practice address
- 2300 W Beverly Blvd
Suite 202
Montebello, CA 90640-2379 - Phone
- (323) 725-0711
- Fax
- (323) 725-0284
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT29155 | CA | Primary |
Addresses
Primary practice location
2300 W Beverly Blvd
Suite 202
Montebello, CA 90640-2379
Mailing address
2300 W Beverly Blvd
Suite 202
Montebello, CA 90640-2379
Phone (323) 725-0711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Loma Linda University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1520 W Beverly Blvd
Montebello, CA 90640-3930
Phone (323) 725-0711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT29155 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Rehabilitation Inc | Current | Accepting new patients | |
| Yoo Omni Wellness Chiropractic Clinic, Inc. | Past | Accepting new patients | |
| Camarillo Chiropractic & Rehab Inc | Past | Accepting new patients |
Locations
3413 W Pacific Ave
Ste 200
Burbank, CA 91505
Phone (818) 841-3936
1347 S Grand Ave
Glendora, CA 91740
Phone (626) 857-4711
2300 W Beverly Blvd
Ste 202
Montebello, CA 90640
Phone (323) 725-0711
1520 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-0711
6712 Friends Ave
Whittier, CA 90601
Phone (562) 945-2161
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Physical Therapy Clinic/Center
- Montebello, CA
- NPI 1063570653
-
- Chiropractor
- Los Angeles, CA
- NPI 1003342205
-
- Chiropractor
- Los Angeles, CA
- NPI 1881788487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352332800000",
"number": "1215021217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 W BEVERLY BLVD",
"address_2": "SUITE 202",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906402379",
"telephone_number": "323-725-0711",
"fax_number": "323-725-0284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 W BEVERLY BLVD",
"address_2": "SUITE 202",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906402379",
"telephone_number": "323-725-0711",
"fax_number": "323-725-0284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "DILLON",
"middle_name": "YOUNG",
"name_prefix": "Mr.",
"credential": "M.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2012-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT29155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.