Active NPI
Robert Chang, D.O.
- Psychiatry Physician
- West Hollywood, CA
National Provider Identifier
1487724308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20A6808
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 20A6808 | CA | MD | Psychiatry Physician |
| 6808 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Psychiatry Physician
- West Hollywood, CA
- NPI 1912658014
-
- Psychiatry Physician
- West Hollywood, CA
- NPI 1518625631
-
- Addiction Psychiatry Physician
- West Hollywood, CA
- NPI 1700491990
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.