Active NPI
Ruey Jen Chang, P.A.
- Medical Physician Assistant
- La Palma, CA
National Provider Identifier
1699064006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA20204
- Practice address
- 5451 La Palma Ave
Suite 25
La Palma, CA 90623-1728 - Phone
- (714) 670-1340
- Fax
- (714) 443-3780
- NPI assigned
- Apr 6, 2011
- Last updated
- Apr 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA20204 | CA | Primary |
Addresses
Primary practice location
5451 La Palma Ave
Suite 25
La Palma, CA 90623-1728
Mailing address
5451 La Palma Ave
Suite 25
La Palma, CA 90623-1728
Phone (714) 670-1340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA20204 | Other | CA | PHYSICIAN ASSISTANT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2063 S Atlantic Blvd
Suite 300
Monterey Park, CA 91754-6366
Phone (323) 796-0170
5451 La Palma Ave
Suite 25
La Palma, CA 90623-1730
Phone 7146701340236
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 88.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20204 | CA | MD | Professional Counselor |
| PA20204 | CA | MD | Medical Physician Assistant |
Organizations & group practices 1
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.
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- Monterey Park, CA
- NPI 1245340231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302134400000",
"number": "1699064006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5451 LA PALMA AVE",
"address_2": "SUITE 25",
"city": "LA PALMA",
"state": "CA",
"postal_code": "906231728",
"telephone_number": "714-670-1340",
"fax_number": "714-443-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5451 LA PALMA AVE",
"address_2": "SUITE 25",
"city": "LA PALMA",
"state": "CA",
"postal_code": "906231728",
"telephone_number": "714-670-1340",
"fax_number": "714-443-3780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "RUEY",
"middle_name": "JEN",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-06",
"last_updated": "2011-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA20204",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASSISTANT LICENSE",
"identifier": "PA20204",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Palma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.