Individual provider Active NPI

Ruey-Kang R. Chang, M.D.

  • Pediatric Cardiology Physician
  • Diamond Bar, CA
National Provider Identifier
1427029677
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
A53331 Issued in CA
Practice address
1360 Valley Vista Dr
Ste 203
Diamond Bar, CA 91765-3953
Phone
(310) 866-0709
Fax
(310) 755-3108
NPI assigned
Jan 27, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X A53331 CA Primary

Addresses

Primary practice location

1360 Valley Vista Dr
Ste 203
Diamond Bar, CA 91765-3953

Mailing address

1360 Valley Vista Dr
Ste 203
Diamond Bar, CA 91765-3953
Phone (310) 866-0709

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
I20051118000698 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 5092734095 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A53331CAMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ekg360 CurrentSince Sep 23, 2021 Accepting new patients
County of Los Angeles CurrentSince Oct 24, 2010 Accepting new patients
QT Medical, Inc. CurrentSince Sep 23, 2021 Accepting new patients
County of Los Angeles CurrentSince Oct 24, 2010 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1360 Valley Vista Dr
Ste 203
Diamond Bar, CA 91765
Phone (909) 323-0007

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

1000 W Carson St
#480
Torrance, CA 90502
Phone (310) 222-5026

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.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1427029677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 VALLEY VISTA DR",
            "address_2": "STE 203",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653953",
            "telephone_number": "310-866-0709",
            "fax_number": "310-755-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 VALLEY VISTA DR",
            "address_2": "STE 203",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653953",
            "telephone_number": "310-866-0709",
            "fax_number": "310-755-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "RUEY-KANG",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2026-07-13",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A53331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

Verify at the official NPI Registry.