Individual provider Active NPI

Gilbert T Chang, MD

  • Pediatrics Physician
  • Fairfield, CA
National Provider Identifier
1538195755
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A70026 Issued in CA
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040708000967 CA Practitioner - Pediatric Medicine 6709864671 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A70026CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.