Individual provider Active NPI

Robert Chang, D.O.

  • Psychiatry Physician
  • West Hollywood, CA
National Provider Identifier
1487724308
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A6808 Issued in CA
Practice address
8265 Sunset Blvd
204
West Hollywood, CA 90046
Phone
(323) 375-0950
Fax
(619) 245-2689
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A6808 CA Primary

Addresses

Primary practice location

8265 Sunset Blvd
204
West Hollywood, CA 90046

Mailing address

8265 Sunset Blvd
204
West Hollywood, CA 90046
Phone (626) 354-6789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2021 through Jul 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A6808CAMDPsychiatry Physician
6808CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychlyst, LLC Psychiatry Current Accepting new patients
Insight Choices Community, Inc. Psychiatry Current Accepting new patients
Insight Choices Community Wellness PC Past Accepting new patients

Locations

8265 W Sunset Blvd
Ste 204
West Hollywood, CA 90046
Phone (323) 375-0950

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1487724308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8265 SUNSET BLVD",
            "address_2": "204",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "90046",
            "telephone_number": "626-354-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8265 SUNSET BLVD",
            "address_2": "204",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "90046",
            "telephone_number": "323-375-0950",
            "fax_number": "619-245-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ROBERT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A6808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.