Active NPI
Joseph Chang, MD
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Bakersfield, CA
National Provider Identifier
1306959259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- A29218
- Practice address
- 4101 Empire Drive
Suite 120
Bakersfield, CA 93309 - Phone
- (661) 325-3934
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A65942 | CA | |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | A29218 | CA | Primary |
Addresses
Primary practice location
4101 Empire Drive
Suite 120
Bakersfield, CA 93309
Mailing address
PO Box 20831
Bakersfield, CA 93390-0831
Phone (805) 565-5700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OOA659420 | Medicaid | CA | |
| MEDICARE RAILROAD | Other | CA | 180040989 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2022 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A29218 | CA | MD | Family Medicine Physician |
| A65942 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bipin D. Patel, M.D., Inc. | Single Specialty | Past | Accepting new patients |
| The Eyelid Doc, Inc. | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
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": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608681600000",
"number": "1306959259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20831",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933900831",
"telephone_number": "805-565-5700",
"fax_number": "661-335-7766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 EMPIRE DRIVE",
"address_2": "SUITE 120",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "93309",
"telephone_number": "661-325-3934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A65942",
"primary": false
},
{
"code": "207WX0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "CA",
"license": "A29218",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OOA659420",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "180040989",
"identifier": "MEDICARE RAILROAD",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.