Individual provider Active NPI

Debbie Chang, M.D.

  • Psychiatry Physician
  • Fontana, CA
National Provider Identifier
1508212499
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A151168 Issued in CA
Practice address
17234 Valley Blvd
Fontana, CA 92335
Phone
(877) 574-0002
NPI assigned
May 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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 A151168 CA Primary

Addresses

Primary practice location

17234 Valley Blvd
Fontana, CA 92335

Mailing address

17234 Valley Blvd
Fontana, CA 92335

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180308001444 CA Practitioner - Psychiatry 4880955863 Reassigns benefits to 3 organizations
I20230801001491 OR Practitioner - Psychiatry 4880955863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Creighton University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asana Integrated Medical Group PCGroup PAC ID 0042124778, 24 clinicians
Savant Care IncGroup PAC ID 8325363989, 8 clinicians

Practice addresses (Care Compare)

2500 Grant Rd
Mountain View, CA 94040-4302
Phone (844) 496-9160

580 California St
San Francisco, CA 94104-1000
Phone (415) 480-7362

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A151168CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Savant Care Inc CurrentSince Feb 4, 2025 Accepting new patients
Asana Integrated Medical Group PC Psychiatry CurrentSince Dec 1, 2022 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients

Locations (25 of 30)

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

4966 El Camino Real
Ste 224
Los Altos, CA 94022
Phone (650) 690-2362

445 S Figueroa St
Fl 31
Los Angeles, CA 90071
Phone (424) 425-1232

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

3200 E Guasti Rd
Ste 100
Ontario, CA 91761
Phone (877) 414-7739

1100 W Town and Country Rd
Ste 1250
Orange, CA 92868
Phone (657) 339-2799

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418

30211 Avenida de las Bandera
Ste 200
Rancho Santa Margarita, CA 92688
Phone (877) 421-1711

170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536

500 Capitol Mall
Ste 2350
Sacramento, CA 95814
Phone (888) 635-6347

768 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 464-6422

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

580 California St
Fl 12
San Francisco, CA 94104

580 California St
San Francisco, CA 94104
Phone (415) 215-1766

1555 Soquel Dr
Santa Cruz, CA 95065
Phone (831) 462-7700

1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

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": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1508212499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17234 VALLEY BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17234 VALLEY BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92335",
            "telephone_number": "877-574-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "DEBBIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A151168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9961 Sierra Ave",
            "city": "Fontana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923356720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

Verify at the official NPI Registry.