NPIMap

Individual provider Active NPI

Andrew Yehuy Chang, DO

  • Family Medicine Physician
  • Laguna Niguel, CA
National Provider Identifier
1417690041
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8114 Issued in OK
Practice address
30281 Golden Lantern
Laguna Niguel, CA 92677-5979
Phone
(949) 495-7144
NPI assigned
Apr 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8114 OK Primary
Family Medicine Physician 207Q00000X 20A23528 CA

Addresses

Primary practice location

30281 Golden Lantern
Laguna Niguel, CA 92677-5979

Mailing address

2355 Westwood Blvd # 1265
Los Angeles, CA 90064-2109

Other practice location 1

1111 N Lee Ave
Oklahoma City, OK 73103-2600
Phone (405) 413-4532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OK, TX3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250630000115 CA Practitioner - Family Practice 3779096235 Reassigns benefits to 1 organization
I20250905001806 OK Practitioner - HospitalistPractitioner - Family Practice 3779096235 Reassigns benefits to 2 organizations
I20260204004367 TX Practitioner - Family Practice 3779096235 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
University of Oklahoma College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Physicians LLCGroup PAC ID 1153794813, 62 clinicians
El Reno Indian Health CenterGroup PAC ID 5193627263, 52 clinicians

Practice addresses (Care Compare)

1111 N Lee Ave
Suite 305
Oklahoma City, OK 73103-2620
Phone (405) 272-4978

1801 Parkview Dr
El Reno, OK 73036-2103
Phone (405) 234-5600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23528CAMDClinical Social Worker
8114OKMDDentist
20A23528CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Group of Montebello Inc CurrentSince May 1, 2025 Accepting new patients
Watonga Indian Health Center CurrentSince Dec 14, 2025 Accepting new patients
Metro Physicians LLC CurrentSince Jul 1, 2025 Accepting new patients
Clinton Indian Health Center CurrentSince Dec 14, 2025 Accepting new patients
El Reno Indian Health Center CurrentSince Dec 14, 2025 Accepting new patients
Summit Medical Center Past Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients
St Anthony Shawnee Hospital Inc Past Accepting new patients

Locations

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300

1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600

1111 N Lee Ave
Ste 305
Oklahoma City, OK 73103
Phone (405) 272-4978

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

1305 S Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-4991

Interoperability endpoints

  • Direct secure messaging: achang398319@direct-ehr-ssmhc.com
  • Direct secure messaging: andrew.chang.1@17619.direct.athenahealth.com

Organizations & group practices 9

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 11

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": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1417690041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 WESTWOOD BLVD # 1265",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30281 GOLDEN LANTERN",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775979",
            "telephone_number": "949-495-7144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 N Lee Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731032600",
            "country_code": "US",
            "telephone_number": "405-413-4532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ANDREW",
        "middle_name": "YEHUY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-20",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "8114",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A23528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.