Eleanor Man-Ying Chang, M.D.

Primary specialty

Pediatric Hospice and Palliative Medicine PhysicianTaxonomy code 2080H0002X

License

A38113 Issued in CA

Practice address

1629 W. 17TH Street
Suite B
Santa Ana, CA 92706

Phone

(714) 647-1300

Fax

(714) 667-3430

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Newport Children'S Medical Group

  • Primary Care Clinic/Center
  • Newport Beach, CA
  • NPI 1356328330
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619198447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 W. 17TH STREET",
            "address_2": "SUITE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92706",
            "telephone_number": "714-647-1300",
            "fax_number": "714-667-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 W. 17TH STREET",
            "address_2": "SUITE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92706",
            "telephone_number": "714-647-1300",
            "fax_number": "714-667-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ELEANOR",
        "middle_name": "MAN-YING",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080H0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A38113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A38113",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee A Chaney, PHD
• Betty Yu-Sin Chang Morikawa
• Anthony Chang, MD
• Christine Yewon Chang, NONE
• Crispin Chang, DDS
• Katianna Chang
• Ma Inna Patricia E Chang
• Sara Jane Chang
• Tina Marie Chang, LMFT
• Changes for Recovery

• Pediatric Hospice and Palliative Medicine Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Pediatric Hospice and Palliative Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.