Active NPI
Gilbert T Chang, MD
- Pediatrics Physician
- Fairfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A70026
- Practice address
- 5140 Business Center Dr
Suite 200
Fairfield, CA 94534-1658 - Phone
- (707) 864-9999
- Fax
- (707) 864-5376
- NPI assigned
- Jun 23, 2006
- Last updated
- Mar 25, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A70026 | CA | Primary |
Addresses
Primary practice location
5140 Business Center Dr
Suite 200
Fairfield, CA 94534-1658
Mailing address
5140 Business Center Dr
Suite 200
Fairfield, CA 94534-1793
Phone (707) 864-9999
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A70026 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northbay Physicians Surgery Center LLC | Past | Accepting new patients | |
| Stanford Hospital and Clinics | Past | Accepting new patients | |
| Northbay Healthcare Group | Past | Accepting new patients | |
| Northbay Healthcare Group | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/UMZ-Uxn6V9x08sH5gCnG-5yPg9ZX7et6/
Organizations & group practices 5
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.
-
dba NorthBay Health Medical Network
- Internal Medicine Physician
- Fairfield, CA
- NPI 1760283527
-
dba NorthBay VacaValley Hospital
- Multi-Specialty Clinic/Center
- Vacaville, CA
- NPI 1760534713
-
dba dba NorthBay Medical Center
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
-
dba The Surgery Center
- Ambulatory Surgical Clinic/Center
- Vacaville, CA
- NPI 1003015843
-
dba SHC Reference Laboratory
- Clinical Medical Laboratory
- Palo Alto, CA
- NPI 1174698468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237939200000",
"number": "1538195755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5140 BUSINESS CENTER DR",
"address_2": "SUITE 200",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945341793",
"telephone_number": "707-864-9999",
"fax_number": "707-864-5376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5140 BUSINESS CENTER DR",
"address_2": "SUITE 200",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945341658",
"telephone_number": "707-864-9999",
"fax_number": "707-864-5376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "GILBERT",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2009-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A70026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.