Individual provider Active NPI

Angela An-CHI Chang, M.D.

  • Otolaryngology Physician
  • La Jolla, CA
National Provider Identifier
1730382318
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A100380 Issued in CA
Practice address
9834 Genesee Ave
Suite 111
La Jolla, CA 92037-1223
Phone
(858) 909-0770
Fax
(858) 909-0880
NPI assigned
Jun 8, 2007
Last updated
Oct 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A100380 CA Primary

Addresses

Primary practice location

9834 Genesee Ave
Suite 111
La Jolla, CA 92037-1223

Mailing address

PO Box 928098
San Diego, CA 92192-8098
Phone (858) 909-0770

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110809000124 CA Practitioner - Otolaryngology 7416126404 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of California, Geffen School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9834 Genesee Ave
Suite 112
La Jolla, CA 92037-1214
Phone (858) 208-0030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A100380CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Head and Neck Surgery Specialists, a Professional Corporation Otolaryngology CurrentSince Feb 1, 2019 Accepting new patients
Angela a Chang MD a Professional Corporation Otolaryngology CurrentSince Apr 5, 2020 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Jun 10, 2019 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Past Accepting new patients
Palomar Health Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

321 E St
Chula Vista, CA 91910
Phone (619) 934-3260

321 E St
Ste A
Chula Vista, CA 91910
Phone (619) 934-3260

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

9834 Genesee Ave
Ste 112
La Jolla, CA 92037
Phone (858) 208-0030

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: achang31036@scrippshlth.medalliesdirect.net

Organizations & group practices 7

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 2

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1730382318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 928098",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921928098",
            "telephone_number": "858-909-0770",
            "fax_number": "858-909-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE",
            "address_2": "SUITE 111",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371223",
            "telephone_number": "858-909-0770",
            "fax_number": "858-909-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ANGELA",
        "middle_name": "AN-CHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A100380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.