Active NPI
Kayla L Torrez Chang, MD
- Surgery Physician
- Fresno, CA
National Provider Identifier
1215595566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101270285
- Practice address
- 155 N Fresno St
Fresno, CA 93701-2302 - Phone
- (559) 459-5196
- NPI assigned
- Jun 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | |||
| General Practice Physician | 208D00000X | 0101270285 | VA | |
| Surgery Physician | 208600000X | 0101270285 | VA | Primary |
Addresses
Primary practice location
155 N Fresno St
Fresno, CA 93701-2302
Mailing address
155 N Fresno St
Fresno, CA 93701-2302
Phone (559) 459-5196
Other practice location 1
8901 Wisconsin Ave
Bethesda, MD 20889-0004
Phone (301) 295-4440
Other practice location 2
MCMH FC 308
HM Smith Boulevard
Camp Lejeune, NC 28547
Phone (910) 450-5125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101270285 | VA | MD | General Practice Physician |
Interoperability endpoints
- kayla.torrez.chang.1@31788.direct.athenahealth.com
- kayla.torrez.chang.1@17661.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648080000000",
"number": "1215595566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937012302",
"telephone_number": "559-459-5196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937012302",
"telephone_number": "559-459-5196"
}
],
"practiceLocations": [
{
"address_1": "8901 Wisconsin Ave",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208890004",
"country_code": "US",
"telephone_number": "301-295-4440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "MCMH FC 308",
"address_2": "HM Smith Boulevard",
"address_purpose": "LOCATION",
"city": "Camp Lejeune",
"state": "NC",
"postal_code": "28547",
"country_code": "US",
"telephone_number": "910-450-5125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TORREZ CHANG",
"first_name": "KAYLA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-02",
"last_updated": "2022-03-24",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101270285",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101270285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.