Active NPI
Tien-Yu Chang, M.D.
- Anesthesiology Physician
- Panorama City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A93643
- Practice address
- 13652 Cantara St
Panorama City, CA 91402-5423 - Phone
- (818) 375-2809
- NPI assigned
- Jan 4, 2008
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A93643 | CA | Primary |
Addresses
Primary practice location
13652 Cantara St
Panorama City, CA 91402-5423
Mailing address
3961 Via Marisol Apt 219
Los Angeles, CA 90042-5086
Phone (323) 687-1899
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Southern California Keck School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1328 22ND St
St Johns Hospital
Santa Monica, CA 90404-2091
Phone (310) 477-2465
Hospital & facility affiliations
- Saint John'S Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93643 | CA | MD | Marriage & Family Therapist |
| 13751 | NV | MD | Registered Nurse |
| A93643 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayside Anesthesia Medical Group | Current | Accepting new patients | |
| Torrance Anesthesia Medical Group Inc. | Anesthesiology | Current | Accepting new patients |
| Sheridan Drozdow Healthcare of Nevada PC | Anesthesiology | Past | Accepting new patients |
| Golden State Anesthesia Consultants, Inc. | Anesthesiology | Past | Accepting new patients |
Locations
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
1328 22nd St
Santa Monica, CA 90404
Phone (310) 829-5511
3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675
22525 Maple Ave
Ste 101
Torrance, CA 90505
Phone (310) 602-5480
Organizations & group practices 4
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.
-
- Pain Medicine (Anesthesiology) Physician
- Santa Monica, CA
- NPI 1184668469
-
- Anesthesiology Physician
- Torrance, CA
- NPI 1902824642
-
- Anesthesiology Physician
- Pasadena, CA
- NPI 1275863599
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1003019266
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278979200000",
"number": "1225213515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3961 VIA MARISOL APT 219",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900425086",
"telephone_number": "323-687-1899",
"fax_number": "323-226-9193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13652 CANTARA ST",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914025423",
"telephone_number": "818-375-2809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "TIEN-YU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-04",
"last_updated": "2010-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A93643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panorama City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.
- 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.