Individual provider Active NPI

Catherine Chang, M.D.

  • Specialist
  • Newport Beach, CA
National Provider Identifier
1295766426
Registry record updated Aug 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G68516 Issued in CA
Practice address
1401 Avocado Ave
Ste 710
Newport Beach, CA 92660-7768
Phone
(949) 717-6755
Fax
(949) 717-6859
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G68516 CA Primary

Addresses

Primary practice location

1401 Avocado Ave
Ste 710
Newport Beach, CA 92660-7768

Mailing address

1401 Avocado Ave
Ste 710
Newport Beach, CA 92660-7768
Phone (949) 717-6755

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
I20100223000375 CA Practitioner - Internal Medicine 0446394894 Practice locations: Newport Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Geffen School of Medicine, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1401 Avocado Ave
Newport Beach, CA 92660-7768
Phone (949) 717-6755

Hospital & facility affiliations

  • Hoag Home Health Home health agency, Newport Beach, CA, CCN 557412
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
24.57 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
81.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68516CAMDPharmacist

Hospital & facility affiliations 2

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503014400000",
    "number": "1295766426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE",
            "address_2": "STE 710",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607768",
            "telephone_number": "949-717-6755",
            "fax_number": "949-717-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE",
            "address_2": "STE 710",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607768",
            "telephone_number": "949-717-6755",
            "fax_number": "949-717-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2017-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G68516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.