Individual provider Active NPI

Dillon Young Chang, M.P.T.

  • Physical Therapist
  • Montebello, CA
National Provider Identifier
1215021217
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29155 Issued in CA
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

Updated by the provider on Nov 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20041209000529 CA Practitioner - Physical Therapist in Private Practice 5698731727 Reassigns benefits to 1 organization
Practice locations: Los Angeles, CA

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
Bay Rehabilitation IncGroup PAC ID 4082790506, 11 clinicians

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

LicenseStateTypeSpecialty
PT29155CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Rehabilitation Inc CurrentSince Aug 2, 2012 Accepting new patients
Yoo Omni Wellness Chiropractic Clinic, Inc. PastSince Jan 21, 2020 Accepting new patients
Camarillo Chiropractic & Rehab Inc PastSince Aug 1, 2017 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.

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.

Verify at the official NPI Registry.