Alicia Ryan Chang, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95026317 Issued in CA

Practice address

501 S Austin Ave Unit 1220
Georgetown, TX 78626-5640

Phone

(877) 445-6828

Fax

(424) 253-0814

NPI assigned

Mar 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Rehabilitation Consultants PCGroup PAC ID 5193250959, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
• Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11214/brand/1/csg/1/fhir/r4
• Direct secure messaging: alicia.chang@908283864678404.direct.elationemr.com

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.

• Integrated Rehabilitation Consultants PC

  • Physical Medicine & Rehabilitation Physician
  • Tustin, CA
  • NPI 1871318865
  Medicare reassignment Care Compare group NPD
• Pain Partners of Texas PLLC

  • Interventional Pain Medicine Physician
  • Lakeway, TX
  • NPI 1356732903
  Medicare reassignment NPD
• Dispatchhealth-Ca, PC

  • Emergency Medicine Physician
  • Tustin, CA
  • NPI 1639752553
  Medicare reassignment NPD
• Newport Care Medical Group, Inc

  • Orthopaedic Surgery Physician
  • Newport Beach, CA
  • NPI 1528401783
  Medicare reassignment NPD
• Newport Care Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Los Alamitos, CA
  • NPI 1922852490
  NPD
• Professional Portable Radiologic Services Inc.

  • Physiological Laboratory
  • Houston, TX
  • NPI 1457087991
  NPD (past)
• Nada Hindiyeh - a Professional Medical Corporation in California

  • Neurology Physician
  • San Francisco, CA
  • NPI 1972314136
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  Care Compare affiliation
• Orange Coast Memorial Medical Center

  • General Acute Care Hospital
  • Fountain Valley, CA
  • NPI 1497702575
  Care Compare affiliation

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1376245100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 POST ST FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084700",
            "telephone_number": "877-445-6828",
            "fax_number": "424-253-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S AUSTIN AVE UNIT 1220",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265640",
            "telephone_number": "877-445-6828",
            "fax_number": "424-253-0814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9025 Wilshire Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902111825",
            "country_code": "US",
            "telephone_number": "877-445-6828",
            "fax_number": "424-253-0814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16300 Sand Canyon Ave Ste 614",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926183706",
            "country_code": "US",
            "telephone_number": "877-445-6828",
            "fax_number": "424-253-0814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 Hayes St Ste 612",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941171078",
            "country_code": "US",
            "telephone_number": "877-445-6828",
            "fax_number": "424-253-0814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9834 Genesee Ave Ste 411",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371264",
            "country_code": "US",
            "telephone_number": "877-445-6828",
            "fax_number": "424-253-0814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 W 38th St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787051006",
            "country_code": "US",
            "telephone_number": "877-445-6828",
            "fax_number": "424-253-0814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ALICIA",
        "middle_name": "RYAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95026317",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1075254",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suparna Chakraborti, CCC-SLP
• Mandi R Chambless, AU.D.
• Jocelyn Chamra-Barrera, LCSW
• Amanda Chandler
• Mark Chandler, RPH
• Melanie Anne Chang
• Dilip Chaparala, MD
• Amanda Leigh Chappell, APRN, PMHNP-BC
• Charles Jeffrey Schwertner, Mdpa
• Jean Elizze Mabute Charles, D.O.

• Family Nurse Practitioner in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.

Verify at the official NPI Registry.