NPIMap

Individual provider Active NPI

Kenneth H Chang, MD

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1609832724
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A55424 Issued in CA
Practice address
728 Pacific Ave
Suite 402
San Francisco, CA 94133-4449
Phone
(415) 421-4525
Fax
(415) 421-4527
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A55424 CA Primary

Addresses

Primary practice location

728 Pacific Ave
Suite 402
San Francisco, CA 94133-4449

Mailing address

728 Pacific Ave
Suite 402
San Francisco, CA 94133-4449
Phone (415) 421-4525

Other identifiers 1

IdentifierTypeStateIssuer
00A554240MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111020000058 CA Practitioner - Internal Medicine 2365614187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

728 Pacific Ave
Suite 402
San Francisco, CA 94133-4449
Phone (415) 421-4525

Hospital & facility affiliations

  • Centerwell Asian American Home Health Home health agency, Alameda, CA, CCN 557754
  • Self-Help Homecare & Hospice Home health agency, San Francisco, CA, CCN 057570
  • Healthflex Home Health Services Home health agency, Oakland, CA, CCN 059551
  • Harmony Home Health Home health agency, Daly City, CA, CCN 053133
  • Chinese Hospital Hospital, San Francisco, CA, CCN 050407
  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth H Chang MD a Medical Corp Internal Medicine CurrentSince Sep 6, 2011 Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
St Francis Medical Center Past Accepting new patients

Locations

728 Pacific Ave
Ste 402
San Francisco, CA 94133
Phone (415) 421-4525

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kenneth.chang@11050442424324.direct.elationemr.com

Organizations & group practices 4

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 6

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1609832724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 PACIFIC AVE",
            "address_2": "SUITE 402",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334449",
            "telephone_number": "415-421-4525",
            "fax_number": "415-421-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 PACIFIC AVE",
            "address_2": "SUITE 402",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334449",
            "telephone_number": "415-421-4525",
            "fax_number": "415-421-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "KENNETH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A55424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A554240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.