Individual provider Active NPI

Sanders Chang

  • Diagnostic Radiology Physician
  • Elmhurst, NY
National Provider Identifier
1265939086
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A194369 Issued in CA
Practice address
7901 Broadway RM C6-10
Elmhurst, NY 11373-1329
Phone
(718) 334-3440
NPI assigned
Apr 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neuroradiology Physician 2085N0700X A194369 CA
Diagnostic Radiology Physician 2085R0202X A194369 CA Primary

Addresses

Primary practice location

7901 Broadway RM C6-10
Elmhurst, NY 11373-1329

Mailing address

7901 Broadway RM C6-10
Elmhurst, NY 11373-1329
Phone (718) 334-3440

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
I20240719002841 CA Practitioner - Diagnostic Radiology 4486992427 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Icahn School of Medicine at Mount Sinai, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
California Imaging Institute Medical Group IncGroup PAC ID 1951325299, 35 clinicians
Central Valley Community Medical ImagingGroup PAC ID 5799679874, 97 clinicians

Practice addresses (Care Compare)

1409 E Briggsmore Ave
Modesto, CA 95355-2707
Phone (209) 524-1211

1700 Coffee Rd
Modesto, CA 95355-2803
Phone (209) 526-4500

1867 E Fir Ave
Suite 101
Fresno, CA 93720-3808
Phone (559) 325-5800

2488 N California St
Stockton, CA 95204-5508
Phone (209) 948-3333

2505 W Hammer LN
Stockton, CA 95209-2839
Phone (209) 957-7050

2545 W Hammer LN
Stockton, CA 95209-2839
Phone (209) 957-7050

2800 L St
Sacramento, CA 95816-5616

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000

441 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 830-4062

445 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 524-1211

447 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 830-4062

473 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 833-3320

600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211

815 Court St
Jackson, CA 95642-2154

918 S Fairmont Ave
Lodi, CA 95240-5119
Phone (209) 366-2001

924 S Fairmont Ave
Lodi, CA 95240-5119
Phone (209) 334-2590

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.79 of 100Reported as group
Quality
66.31
Improvement activities
40
Cost
74.14

Merit-based Incentive Payment System (MIPS)

Final score
84.42 of 100Reported as group
Quality
71.24
Improvement activities
40
Cost
75.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A194369CAMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Valley Community Medical Imaging Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
California Imaging Institute Medical Group Inc CurrentSince Aug 1, 2024 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Feb 1, 2026 Accepting new patients
Sutter Valley Medical Foundation Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

570 N Magnolia Ave
Ste 103
Clovis, CA 93611
Phone (559) 447-4000

729 N Medical Center Dr W
Ste 109
Clovis, CA 93611
Phone (559) 324-6810

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

15 E Audubon Dr
Fresno, CA 93720
Phone (559) 433-8000

1827 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 297-9002

6771 N Palm Ave
Fresno, CA 93704
Phone (559) 451-2203

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

1867 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 325-5800

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

250 W Main St
Woodland, CA 95695
Phone (916) 668-6100

460 Plumas Blvd
Ste 202
Yuba City, CA 95991
Phone (530) 749-5500

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.

Hospital & facility affiliations 5

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1265939086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 BROADWAY RM C6-10",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "718-334-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 BROADWAY RM C6-10",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "718-334-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "SANDERS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A194369",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A194369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.