Individual provider Active NPI

Tinyee Tsai Chang, MD

  • Dermatology Physician
  • Redding, CA
National Provider Identifier
1386861409
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A88191 Issued in CA
Practice address
375 Smile Place Suite B
Redding, CA 96001
Phone
(530) 221-3376
Fax
(530) 221-3378
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A88191 CA Primary

Addresses

Primary practice location

375 Smile Place Suite B
Redding, CA 96001

Mailing address

2570 Goodwater Ave
#300
Redding, CA 96002-1548
Phone (530) 221-3376

Other identifiers 3

IdentifierTypeStateIssuer
GT618AOtherCAPTAN
RHM53955FMedicaidCA
GR0089250MedicaidCA

Other names 1

  • Tinyee L Tsai Former name

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
I20050315000579 CA Practitioner - Dermatology 4880649623 Reassigns benefits to 1 organization
Practice locations: Redding, CA

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tufts University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

375 Smile PL B
Redding, CA 96001-3653
Phone (530) 221-3376

Hospital & facility affiliations

  • Oroville Hospital Hospital, Oroville, CA, CCN 050030

Merit-based Incentive Payment System (MIPS)

Final score
97.5 of 100Reported as individual
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision92
Removal of skin lesions1E4
Removal of nail tissue45
Removal or shaving of skin growth684
Skin biopsy42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88191CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Dermatology Medical Center, Inc. CurrentSince May 22, 2015 Accepting new patients
Loma Linda University Medical Center Past Accepting new patients

Locations

375 Smile Pl
Ste B
Redding, CA 96001
Phone (530) 221-3376

2570 Goodwater Ave
Ste 300
Redding, CA 96002
Phone (530) 221-3376

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGAACA/Endpoint/EGAACA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EGAACA

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1386861409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 GOODWATER AVE",
            "address_2": "#300",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021548",
            "telephone_number": "530-221-3376",
            "fax_number": "530-221-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 SMILE PLACE SUITE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96001",
            "telephone_number": "530-221-3376",
            "fax_number": "530-221-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "TINYEE",
        "middle_name": "TSAI",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A88191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "GT618A",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM53955F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0089250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINYEE",
            "last_name": "TSAI",
            "middle_name": "L",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.