Eileen Yuan Chang
Individual provider Active NPI Emergency Medicine Physician · Torrance, CA
NPI 1376746644 · NPPES record last updated Aug 6, 2015
Key facts
- NPI
- 1376746644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- A111171 (CA)
- Practice address
- 4101 Torrance Blvd
Em Dept
Torrance, CA 90503-4607 - Phone
- (310) 540-7676
- NPI assigned
- Jun 6, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Northwestern University Feinberg Medical School, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Torrance Emergency Physicians Inc
Practice addresses (Care Compare)
3330 Lomita Blvd
Torrance, CA 90505-5002
Phone (310) 325-9110
Hospital & facility affiliations
- Torrance Memorial Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100730000897 | CA | Practitioner - Emergency Medicine | 1759434749 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A111171 | CA | MD | Emergency Medicine Physician |
| 224652 | MA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vep MLK Emergency Medical Group Inc | Emergency Medicine | Current |
Accepting new patients |
| Capital Hospitalist Medical Group Inc | Emergency Medicine | Current |
Accepting new patients |
| Torrance Emergency Physicians, Inc | Emergency Medicine | Current |
Accepting new patients |
| Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation | Past | Accepting new patients | |
| UCLA Medical Group | Emergency Medicine | Past | Accepting new patients |
| North Shore Medical Center, Inc. | Past | Accepting new patients | |
| The Regents of the University of California | Past | Accepting new patients |
Locations
1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000
3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675
Interoperability endpoints
- echang439131@direct.uclahealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 224652 | MA | |
| Emergency Medicine Physician | 207P00000X | A111171 | CA | Yes |
Addresses
Primary practice location
4101 Torrance Blvd
Em Dept
Torrance, CA 90503-4607
Mailing address
4401 W Memorial Rd Ste 121
Oklahoma City, OK 73134-1722
Phone (405) 751-4664
NPI Registry JSON
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1376746644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 W MEMORIAL RD STE 121",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341722",
"telephone_number": "405-751-4664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 TORRANCE BLVD",
"address_2": "EM DEPT",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034607",
"telephone_number": "310-540-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "EILEEN",
"middle_name": "YUAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "224652",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A111171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
- Allen K Chang
- Bryan Chang
- Duke Min Chang
- Edmond Shek-Meng Chang
- Edward Chang
- Emiley Chang
- Emily Wen-Hsin Chang
- Hsin-Hsin Chang
- Janice Erica Chang
- Jay Chang
All providers in Torrance, CA · Emergency Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.