Active NPI
Jesse L. Chang, M.D.
- Pulmonary Disease Physician
- Los Alamitos, CA
National Provider Identifier
1366481863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A77482
- Practice address
- 3851 Katella Ave
Suite 315
Los Alamitos, CA 90720-3338 - Phone
- (562) 626-8016
- Fax
- (562) 626-8017
- NPI assigned
- Jun 6, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A77482 | CA | |
| Pulmonary Disease Physician | 207RP1001X | A77482 | CA | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | A77482 | CA |
Addresses
Primary practice location
3851 Katella Ave
Suite 315
Los Alamitos, CA 90720-3338
Mailing address
PO Box 5640
Los Alamitos, CA 90721-5640
Phone (562) 626-8016
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101027000521 | CA | Practitioner - Pulmonary Disease | 9931102233 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- New York University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Critical Care Services PC
Practice addresses (Care Compare)
2040 Main St
Suite 240
Irvine, CA 92614-8281
Phone (314) 514-6000
Hospital & facility affiliations
- Havasu Regional Medical Center
- Anmed Health
- Phoebe Sumter Medical Center
- Summit Healthcare Regional Medical Center
- Kershawhealth
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77482 | CA | MD | Clinical Social Worker |
| A77482 | CA | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Critical Care Services, P.C. | Critical Care Medicine | Current | Accepting new patients |
Locations
2040 Main St
Ste 240
Irvine, CA 92614
Interoperability endpoints
- jchang305876@ecommunitydirect.com
- jchang305876@reidhealth.direct-ci.com
- jchang53229@direct.ahsys.org
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- St. Louis, MO
- NPI 1942256250
CA, Critical Care Medicine
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Lake Havasu City, AZ
- NPI 1780761866
Hospital
-
- General Acute Care Hospital
- Camden, SC
- NPI 1487220307
Hospital
-
- Rural Health Clinic/Center
- Overgaard, AZ
- NPI 1770700767
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406592000000",
"number": "1366481863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5640",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907215640",
"telephone_number": "562-626-8016",
"fax_number": "562-626-8017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3851 KATELLA AVE",
"address_2": "SUITE 315",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203338",
"telephone_number": "562-626-8016",
"fax_number": "562-626-8017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "JESSE",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "A77482",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A77482",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "CA",
"license": "A77482",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.