NPIMap

Individual provider Active NPI

Paul Soojin Chang, M.D.

  • Internal Medicine Physician
  • Buena Park, CA
National Provider Identifier
1487627261
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G077288 Issued in CA
Practice address
5832 Beach Blvd Unit 214
Buena Park, CA 90621-5501
Phone
(714) 523-7575
Fax
(714) 523-7585
NPI assigned
Feb 10, 2006
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G077288 CA Primary

Addresses

Primary practice location

5832 Beach Blvd Unit 214
Buena Park, CA 90621-5501

Mailing address

2654 W la Palma Ave
Anaheim, CA 92801-2601
Phone (714) 827-0700

Other identifiers 1

IdentifierTypeStateIssuer
00G772880MedicaidCA

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
I20040817000874 CA Practitioner - Internal MedicinePractitioner - Family Practice 6507839628 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Chicago College of Medicine and Surgery, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMG Medical Practice Group PCGroup PAC ID 8921578220, 3 clinicians
Friends Medical Group IncGroup PAC ID 3577536721, 3 clinicians

Practice addresses (Care Compare)

520 S Virgil Ave
Suite 507
Los Angeles, CA 90020-1452
Phone (213) 480-7770

5832 Beach Blvd
Unit 214
Buena Park, CA 90621-5501
Phone (714) 523-7575

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77288CAMDMarriage & Family Therapist
G077288CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Changsoo Medical Group Internal Medicine CurrentSince Jun 25, 2025 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients

Locations

5832 Beach Blvd
Unit 214
Buena Park, CA 90621
Phone (714) 486-2586

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: paul.chang@950780053225476.direct.elationemr.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unitedcare Hospice IncCerritos, CA, CCN A01645 Hospice W-2 Managing Employee Nov 1, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 5

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1487627261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2654 W LA PALMA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012601",
            "telephone_number": "714-827-0700",
            "fax_number": "714-827-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5832 BEACH BLVD UNIT 214",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906215501",
            "telephone_number": "714-523-7575",
            "fax_number": "714-523-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "PAUL",
        "middle_name": "SOOJIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G077288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G772880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.