Active NPI
Duke Min Chang, MD
- Nephrology Physician
- Torrance, CA
National Provider Identifier
1235290669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- C43046
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C430461 | Medicaid | CA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111205000571 | CA | Practitioner - Nephrology | 4082637806 | Practice locations: Torrance, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C43046 | CA | MD | Nephrology Physician |
Practice roles (2 of 3)
| Organization | Specialty | Status | New 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.
-
- Adult Day Care Clinic/Center
- Westminster, CA
- NPI 1265640585
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.