Heidi Chang, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Walnut Creek, CA
NPI 1649681982 · NPPES record last updated Nov 13, 2024
Key facts
- NPI
- 1649681982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- A128445 (CA)
- Practice address
- 2637 Shadelands Dr
Walnut Creek, CA 94598-2512 - Phone
- (925) 393-0033
- Fax
- (925) 301-8956
- NPI assigned
- May 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of Virginia School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Emergency and Acute Care Medical Corporation
South Coast Gynecologic Oncology Inc
Practice addresses (Care Compare)
5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 740-6000
9095 Rio San Diego Dr
Suite 425
San Diego, CA 92108-1679
Phone 8584555524205
Hospital & facility affiliations
- Sharp Memorial Hospital
- Grossmont Hospital
- Sharp Coronado Hospital and Hlthcr Ctr
- Sharp Chula Vista Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.17 of 100
- Quality
- 86.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of the uterus | 22 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160510002097 | CA | Practitioner - Obstetrics/Gynecology | 6901195262 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128445 | CA | MD | Marriage & Family Therapist |
| A128445 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Coast Gynecologic Oncology, Inc | Current |
Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| Emergency and Acute Care Medical Corporation | Current |
Accepting new patients | |
| County of Los Angeles Auditor Controller | Current |
Accepting new patients | |
| Bass Medical Group | Obstetrics & Gynecology | Current | Accepting new patients |
| County of Los Angeles | Current |
Accepting new patients | |
| Bass Medical Group | Current |
Accepting new patients | |
| Bass Medical Group | Current |
Accepting new patients |
Locations
1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
9095 Rio San Diego Dr
Ste 425
San Diego, CA 92108
Phone 8584555524 ext. 205
14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303
365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424
2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424
Interoperability endpoints
- hchang46799@alamedahs.direct-ci.com
- hchang462142@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A128445 | CA | Yes |
Addresses
Primary practice location
2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Mailing address
2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 393-0033
NPI Registry JSON
{
"created_epoch": "1399507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1649681982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2637 SHADELANDS DR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982512",
"telephone_number": "925-393-0033",
"fax_number": "925-301-8956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2637 SHADELANDS DR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982512",
"telephone_number": "925-393-0033",
"fax_number": "925-301-8956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "HEIDI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-08",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A128445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
- Cecil Chang
- Ching Hai Chang
- Ching-Kuo Chang
- E. Cheng-Hsin Chang
- Han Kyo K Chang
- Jane Ting Chang
- Judy Chang
- Katherine Chang
- Leatrice L Chang
- Lisbeth Chang
All providers in Walnut Creek, CA · Obstetrics & Gynecology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.