Individual provider Active NPI

Ruey Jen Chang, P.A.

  • Medical Physician Assistant
  • La Palma, CA
National Provider Identifier
1699064006
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA20204 Issued in CA
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PA20204OtherCAPHYSICIAN 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110602000103 CA Practitioner - Physician Assistant 6901083831 Reassigns benefits to 1 organization

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
Arthritis and Osteoporosis Medical Center, IncGroup PAC ID 4789671066, 10 clinicians

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 100Reported as group
Quality
95
Improvement activities
40
Cost
88.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
20204CAMDProfessional Counselor
PA20204CAMDMedical 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.

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

Verify at the official NPI Registry.