NPIMap

Individual provider Active NPI

Weiling Chang, M.D.

  • Diagnostic Radiology Physician
  • La Mesa, CA
National Provider Identifier
1659326460
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A90535 Issued in CA
Practice address
8881 Fletcher Parkway #102
La Mesa, CA 91942
Phone
(619) 461-1830
Fax
(619) 797-1484
NPI assigned
May 23, 2006
Last updated
Mar 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A900535 CA
Diagnostic Radiology Physician 2085R0202X A90535 CA Primary

Addresses

Primary practice location

8881 Fletcher Parkway #102
La Mesa, CA 91942

Mailing address

7777 Alvarado Rd #108
La Mesa, CA 91942
Phone (619) 460-2770

Other identifiers 2

IdentifierTypeStateIssuer
00A905350MedicaidCA
00A905350OtherCABLUE SHIELD PIN

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
I20051107001054 CA Practitioner - Diagnostic Radiology 7315965480 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
George Washington University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2700 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 445-5431

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A900535CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Humboldt Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jul 7, 2024 Accepting new patients
X-Ray Medical Group Inc Diagnostic Radiology CurrentSince Aug 1, 2006 Accepting new patients
Humboldt Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jul 7, 2024 Accepting new patients
Regents of the University of California Diagnostic Radiology Past Accepting new patients

Locations

2330 Buhne St
Eureka, CA 95501
Phone (707) 442-3704

2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229

3300 Renner Dr
Fortuna, CA 95540
Phone (707) 725-3361

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

5565 Grossmont Center Dr
Ste 1
La Mesa, CA 91942
Phone (619) 463-4486

7777 Alvarado Rd
Ste 108
La Mesa, CA 91942
Phone (619) 460-2774

8881 Fletcher Pkwy
Ste 102
La Mesa, CA 91942
Phone (619) 461-1830

2527 Cranberry Hwy
Wareham, MA 02571
Phone (508) 295-5556

10 Little Brook Rd
West Wareham, MA 02576

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1659326460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 ALVARADO RD #108",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91942",
            "telephone_number": "619-460-2770",
            "fax_number": "619-460-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PARKWAY #102",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91942",
            "telephone_number": "619-461-1830",
            "fax_number": "619-797-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "WEILING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A900535",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A90535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A905350",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "00A905350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.