NPIMap

Individual provider Active NPI

Alfredo Lee Chang, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Los Angeles, CA
National Provider Identifier
1689944407
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
A142854 Issued in CA
Practice address
1520 San Pablo Street
Suite1000
Los Angeles, CA 90033-5310
Phone
(323) 442-5100
NPI assigned
Jan 10, 2012
Last updated
Apr 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 52549 CT
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A142854 CA Primary
Pulmonary Disease Physician 207RP1001X A142854 CA

Addresses

Primary practice location

1520 San Pablo Street
Suite1000
Los Angeles, CA 90033-5310

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150803000898 NY Practitioner - Critical Care (Intensivists) 2567694409 Reassigns benefits to 1 organization
I20160615002561 CA Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 2567694409 Reassigns benefits to 3 organizations
I20200429001108 CA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2567694409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prestige Pulmonary Consultants IncGroup PAC ID 0446671382, 11 clinicians

Practice addresses (Care Compare)

500 N Garfield Ave
Monterey Park, CA 91754-1242
Phone (626) 280-4393

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A142854CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Internal Medicine CurrentSince May 15, 2015 Accepting new patients
Montefiore Medical Center CurrentSince May 15, 2015 Accepting new patients
Prestige Pulmonary Consultants Inc Critical Care Medicine CurrentSince May 1, 2020 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 1, 2016 Accepting new patients
Alfredo Lee Chang MD Inc Critical Care Medicine CurrentSince Apr 7, 2020 Accepting new patients
Joseph H Kuei MD Inc Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Usc Care Medical Group, Inc Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
North Shore University Hospital Past Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
Keck Medical Center of Usc Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
SVMC Holdings, Inc Past Accepting new patients

Locations

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1520 San Pablo St
Ste 1000
Los Angeles, CA 90033
Phone (626) 457-5839

500 N Garfield Ave
Ste 204
Monterey Park, CA 91754
Phone (626) 280-4393

111 E 210th St
Bronx, NY 10467

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 5

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": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1689944407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "323-442-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SAN PABLO STREET",
            "address_2": "SUITE1000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335310",
            "telephone_number": "323-442-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE CHANG",
        "first_name": "ALFREDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-10",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "52549",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A142854",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A142854",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.