Organization Active NPI

David F. Chang MD Inc

  • Ophthalmology Physician
  • Los Altos, CA
National Provider Identifier
1275857088
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G45581 Issued in CA
Legal business name
DAVID F. CHANG MD INC
Practice address
762 Altos Oaks Dr
Ste 1
Los Altos, CA 94024-5434
Phone
(650) 948-9123
Fax
(650) 948-0563
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
David F Chang, M.D.NPI 1316966138
Title
President
Phone
(650) 948-9123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G45581 CA Primary

Addresses

Primary practice location

762 Altos Oaks Dr
Ste 1
Los Altos, CA 94024-5434

Mailing address

762 Altos Oaks Dr
Ste 1
Los Altos, CA 94024-5434
Phone (650) 948-9123

Other identifiers 1

IdentifierTypeStateIssuer
00G455810MedicaidCA

Other names 1

  • Altos Eye Physicians Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100331000299 CA Part B Supplier - Clinic/Group Practice 8224164074 Receives reassigned benefits from 3 practitioners
Practice locations: Los Altos, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1275857088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 ALTOS OAKS DR",
            "address_2": "STE 1",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245434",
            "telephone_number": "650-948-9123",
            "fax_number": "650-948-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 ALTOS OAKS DR",
            "address_2": "STE 1",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245434",
            "telephone_number": "650-948-9123",
            "fax_number": "650-948-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID F. CHANG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-948-9123",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G45581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G455810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altos Eye Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.