Individual provider Active NPI

Changgao Yang, MD

  • Dermatopathology (Pathology) Physician
  • Seal Beach, CA
National Provider Identifier
1366435638
Registry record updated Jan 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
A062281 Issued in CA
Practice address
3030 Old Ranch Pkwy
Suite 430
Seal Beach, CA 90740-2765
Phone
(562) 799-8900
Fax
(562) 799-8901
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A062281 CA
Dermatopathology (Pathology) Physician 207ZD0900X A062281 CA Primary
Molecular Genetic Pathology (Pathology) Physician 207ZP0007X A062281 CA
Hematology (Pathology) Physician 207ZH0000X A062281 CA

Addresses

Primary practice location

3030 Old Ranch Pkwy
Suite 430
Seal Beach, CA 90740-2765

Mailing address

3030 Old Ranch Pkwy
Suite 430
Seal Beach, CA 90740-2765
Phone (562) 799-8900

Other identifiers 2

IdentifierTypeStateIssuer
05D1012129OtherCLIA
00A62281MedicaidCA

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
I20051221000681 CA Practitioner - Pathology 6406751197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3030 Old Ranch Pkwy
Suite 430
Seal Beach, CA 90740-2760
Phone (562) 799-8900

Merit-based Incentive Payment System (MIPS)

Final score
28.33 of 100Reported as group
Quality
46.67
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A062281CAMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Pathology Medical Corporation CurrentSince Dec 1, 2023 Accepting new patients
Sterling Pathology Medical Corporation Dermatopathology CurrentSince Aug 2, 2017 Accepting new patients
Sterling Pathology Med Corp Past Accepting new patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients
Sterling Pathology Med Corp Past Accepting new patients

Locations

3030 Old Ranch Pkwy
Ste 430
Seal Beach, CA 90740
Phone (562) 799-5518

3030 Old Ranch Pkwy
Ste 300
Seal Beach, CA 90740
Phone (562) 799-8900

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768003200000",
    "number": "1366435638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 OLD RANCH PKWY",
            "address_2": "SUITE 430",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402765",
            "telephone_number": "562-799-8900",
            "fax_number": "562-799-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 OLD RANCH PKWY",
            "address_2": "SUITE 430",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402765",
            "telephone_number": "562-799-8900",
            "fax_number": "562-799-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "CHANGGAO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2026-01-10",
        "certification_date": "2026-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A062281",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "CA",
            "license": "A062281",
            "primary": true
        },
        {
            "code": "207ZP0007X",
            "taxonomy_group": "",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": "CA",
            "license": "A062281",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "CA",
            "license": "A062281",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D1012129",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A62281",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

Verify at the official NPI Registry.