Individual provider Active NPI

Anthony Chang, MD

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1306050406
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A121458 Issued in CA
Practice address
8933 Activity Rd
San Diego, CA 92126-4427
Phone
(858) 653-6130
Fax
(858) 653-6125
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A121458 CA Primary

Addresses

Primary practice location

8933 Activity Rd
San Diego, CA 92126-4427

Mailing address

2001 4TH Ave
San Diego, CA 92101-2303
Phone (619) 446-1727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080724000156 NY Practitioner - Diagnostic Radiology 7618040684 Reassigns benefits to 1 organization
I20121217000064 CA Practitioner - Diagnostic Radiology 7618040684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians
True North Medical Group PCGroup PAC ID 7012194806, 185 clinicians

Practice addresses (Care Compare)

10243 Genetic Ctr Dr
San Diego, CA 92121-6310
Phone (858) 499-2600

10670 Wexford St
San Diego, CA 92131-3940
Phone (858) 621-4002

1101 Stewart Ave
Suite 100
Garden City, NY 11530-4833
Phone (516) 536-2800

1400 E Palomar St
Chula Vista, CA 91913-1800
Phone (858) 499-2600

16950 Via Tazon
San Diego, CA 92127-1607
Phone (858) 499-2600

2600 Via de la Valle
Suite 200
Del Mar, CA 92014-1992
Phone (858) 499-2600

2929 Health Ctr Dr
San Diego, CA 92123-2762
Phone (858) 499-2600

3974 Via Cangrejo
San Diego, CA 92130-2641
Phone (516) 536-2800

480 H St
Chula Vista, CA 91910-4328
Phone (858) 499-2600

8701 Cuyamaca St
Santee, CA 92071-4253
Phone (858) 499-2600

8933 Activity Rd
San Diego, CA 92126-4427
Phone (858) 499-2600

8975 Balboa Ave
San Diego, CA 92123-1507
Phone (858) 499-2600

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
81.04
Promoting interoperability
99
Improvement activities
40
Cost
82.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Nov 5, 2012 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Nov 5, 2012 Accepting new patients
True North Medical Group PC Diagnostic Radiology CurrentSince Feb 23, 2025 Accepting new patients
True North Medical Group PC CurrentSince Feb 23, 2025 Accepting new patients
New York Society for the Relief of Ruptured & Crippled Maintaining Diagnostic Radiology Past Accepting new patients

Locations

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

8933 Activity Rd
San Diego, CA 92126
Phone (858) 499-2704

1101 Stewart Ave
Ste 100
Garden City, NY 11530
Phone (516) 234-6158

8002 Kew Gardens Rd
Kew Gardens, NY 11415
Phone (718) 275-2130

8002 Kew Gardens Rd
Ste 100A
Kew Gardens, NY 11415
Phone (718) 970-6601

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: achang33470@sharphealthcare.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1306050406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012303",
            "telephone_number": "619-446-1727",
            "fax_number": "858-636-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8933 ACTIVITY RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264427",
            "telephone_number": "858-653-6130",
            "fax_number": "858-653-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A121458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.