Individual provider Active NPI

Ernest Chang, OD

  • Optometrist
  • Woodland, CA
National Provider Identifier
1235786898
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34341 Issued in CA
Practice address
421 Pioneer Ave
Woodland, CA 95776-4948
Phone
(530) 661-0300
NPI assigned
Aug 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34341 CA Primary

Addresses

Primary practice location

421 Pioneer Ave
Woodland, CA 95776-4948

Mailing address

421 Pioneer Ave Ste B
Woodland, CA 95776-4948
Phone (530) 661-0300

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191004000490 CA Practitioner - Optometry 9436480597 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4860 Y St
Suite 2400
Sacramento, CA 95817-2307
Phone (916) 734-6602

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
86.24
Promoting interoperability
100
Improvement activities
40
Cost
78.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34341CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Current Accepting new patients
Regents of the University of California CurrentSince Jan 8, 2024 Accepting new patients
Regents of the University of California CurrentSince Jan 8, 2024 Accepting new patients
Regents of the University of California Current Accepting new patients
Eyes of Woodland Optometry, Apc Optometrist CurrentSince Sep 1, 2019 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Essent PRMC LP Past Accepting new patients

Locations

2035 Lyndell Ter
Ste 100
Davis, CA 95616
Phone (530) 668-6000

2660 W Covell Blvd
Fl 2
Davis, CA 95616
Phone (530) 747-3000

2660 W Covell Blvd
Davis, CA 95616
Phone (530) 747-3000

251 Turn Pike Dr
Folsom, CA 95630
Phone (916) 985-9300

10850 White Rock Rd
Rancho Cordova, CA 95670

2261 Douglas Blvd
Roseville, CA 95661
Phone (916) 783-1044

4860 Y St
Ste 2400
Sacramento, CA 95817
Phone (916) 734-6602

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700

77 Cadillac Dr
Ste 240
Sacramento, CA 95825
Phone (916) 569-4400

2400 Del Paso Rd
Ste 145
Sacramento, CA 95834
Phone (916) 928-3940

421 Pioneer Ave
Ste B
Woodland, CA 95776
Phone (530) 661-0300

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1235786898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 PIONEER AVE STE B",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957764948",
            "telephone_number": "530-661-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 PIONEER AVE",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957764948",
            "telephone_number": "530-661-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ERNEST",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

Verify at the official NPI Registry.