NPIMap

Individual provider Active NPI

Alice Chang, D.O.

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1568737484
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A12187 Issued in CA
Practice address
801 South Chevy Chase Dr.
Suite 201
Glendale, CA 91205
Phone
(818) 500-5586
Fax
(818) 500-5587
NPI assigned
Mar 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A12187 CA Primary

Addresses

Primary practice location

801 South Chevy Chase Dr.
Suite 201
Glendale, CA 91205

Mailing address

801 South Chevy Chase Dr.
Suite 201
Glendale, CA 91205
Phone (818) 500-5586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131227000486 CA Practitioner - Family Practice 4880821677 Reassigns benefits to 1 organization
I20170621002779 PA Practitioner - Family Practice 4880821677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scripps HealthGroup PAC ID 9234033853, 1,450 clinicians

Practice addresses (Care Compare)

278 Town Ctr Pkwy
Suite 105
Santee, CA 92071-5809
Phone (619) 713-7880

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12187CAMDMental Health Counselor
20A12187CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Family Medicine CurrentSince Dec 1, 2019 Accepting new patients
Scripps Health Current Accepting new patients
Prospect Health Access Network, Inc. CurrentSince May 25, 2017 Accepting new patients
Prospect Health Access Network, Inc. Family Medicine CurrentSince May 25, 2017 Accepting new patients
Scripps Health Family Medicine Current Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health CurrentSince Dec 1, 2019 Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients
Family Practice of Glendale a Medical Corporation Family Medicine Past Accepting new patients

Locations

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626

278 Town Center Pkwy
Ste 105
Santee, CA 92071
Phone (619) 449-6621

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

1324 Macdade Blvd
Woodlyn, PA 19094
Phone (610) 872-2200

Interoperability endpoints

  • Direct secure messaging: achang329053@scrippshlth.medalliesdirect.net

Organizations & group practices 10

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1568737484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SOUTH CHEVY CHASE DR.",
            "address_2": "SUITE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91205",
            "telephone_number": "818-500-5586",
            "fax_number": "818-500-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SOUTH CHEVY CHASE DR.",
            "address_2": "SUITE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91205",
            "telephone_number": "818-500-5586",
            "fax_number": "818-500-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ALICE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A12187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.