Individual provider Active NPI

Duke Min Chang, MD

  • Nephrology Physician
  • Torrance, CA
National Provider Identifier
1235290669
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
C43046 Issued in CA
Practice address
22738 Meyler St
Torrance, CA 90502-2349
Phone
(310) 344-3281
Fax
(424) 263-2902
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X C43046 CA Primary

Addresses

Primary practice location

22738 Meyler St
Torrance, CA 90502-2349

Mailing address

22738 Meyler St
Torrance, CA 90502-2349
Phone (310) 344-3281

Other practice location 1

3663 Torrance Blvd
Suite 7
Torrance, CA 90503-4817
Phone (310) 316-6123

Other identifiers 1

IdentifierTypeStateIssuer
00C430461MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111205000571 CA Practitioner - NephrologyPractitioner - Internal Medicine 4082637806 Practice locations: Torrance, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C43046CAMDNephrology Physician

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Royal Palm Manor, Inc. Past Accepting new patients
Duke M. Chang, M.D., Inc. Nephrology Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1235290669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22738 MEYLER ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022349",
            "telephone_number": "310-344-3281",
            "fax_number": "424-263-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22738 MEYLER ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022349",
            "telephone_number": "310-344-3281",
            "fax_number": "424-263-2902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3663 Torrance Blvd",
            "address_2": "Suite 7",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905034817",
            "country_code": "US",
            "telephone_number": "310-316-6123",
            "fax_number": "310-316-1253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "DUKE",
        "middle_name": "MIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "C43046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C430461",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.