Active NPI
Kirk Y Chang, M.D
- Cardiovascular Disease Physician
- Los Angeles, CA
National Provider Identifier
1215924105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A75580
- Practice address
- 8635 W 3Rd St
Ste# 1050W
Los Angeles, CA 90048-6101 - Phone
- (310) 659-4026
- NPI assigned
- Oct 5, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A75580 | CA | Primary |
Addresses
Primary practice location
8635 W 3Rd St
Ste# 1050W
Los Angeles, CA 90048-6101
Mailing address
8635 W 3Rd St
Ste# 1050W
Los Angeles, CA 90048-6101
Phone (310) 659-4026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2022 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A75580 | CA | MD | Cardiovascular Disease Physician |
Interoperability endpoints
- kchang102442@direct.cshs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215924105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8635 W 3RD ST",
"address_2": "STE# 1050W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486101",
"telephone_number": "310-659-4026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8635 W 3RD ST",
"address_2": "STE# 1050W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486101",
"telephone_number": "310-659-4026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "KIRK",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A75580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.