NPIMap

Individual provider Active NPI

Eric Yao Chang, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Orange, CA
National Provider Identifier
1407062920
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A104168 Issued in CA
Practice address
1120 W la Veta Ave
Suite 300
Orange, CA 92868-4231
Phone
(657) 210-4096
Fax
(657) 210-4233
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A104168 CA Primary

Addresses

Primary practice location

1120 W la Veta Ave
Suite 300
Orange, CA 92868-4231

Mailing address

2549 Eastbluff Dr # 183
Newport Beach, CA 92660-3500
Phone (310) 923-1664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110623000691 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 0749468650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Albert Einstein College of Medicine of Yeshiva University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spine and Sports Specialities Medical GroupGroup PAC ID 6507177367, 15 clinicians
Paragon Physical Therapy and Rehab LLCGroup PAC ID 4284902339, 87 clinicians

Practice addresses (Care Compare)

1120 W la Veta Ave
Suite 300
Orange, CA 92868-4246
Phone (714) 598-1745

2585 Miracle Mile
Suite 107
Bullhead City, AZ 86442-7522

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.8 of 100Reported as individual
Quality
89.08
Improvement activities
40
Cost
57.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104168CAMDMarriage & Family Therapist
A104168CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Sports Specialities Medical Group Pain Medicine CurrentSince Jul 1, 2015 Accepting new patients
University of California Irvine Past Accepting new patients

Locations

1120 W La Veta Ave
Ste 300
Orange, CA 92868
Phone (657) 210-4096

Interoperability endpoints

  • Direct secure messaging: eric.chang@sass.eclinicaldirectplus.com
  • Direct secure messaging: eric.chang.1@20474.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1407062920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2549 EASTBLUFF DR # 183",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603500",
            "telephone_number": "310-923-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W LA VETA AVE",
            "address_2": "SUITE 300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684231",
            "telephone_number": "657-210-4096",
            "fax_number": "657-210-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ERIC",
        "middle_name": "YAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A104168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.