Active NPI
David F. Chang MD Inc
- Ophthalmology Physician
- Los Altos, CA
National Provider Identifier
1275857088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G45581
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David F Chang, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G455810 | Medicaid | CA |
Other names 1
- Altos Eye Physicians
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Los Altos, CA
- NPI 1316966138
-
- Ophthalmology Physician
- Los Altos, CA
- NPI 1437336609
-
- Cornea and External Diseases Specialist Physician
- Los Altos, CA
- NPI 1629572136
Ophthalmology
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.