Active NPI
Simon Y. Chang, M.D.
- Family Medicine Physician
- Downey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A69205
- Practice address
- 10441 Lakewood Blvd Ste Ab
Downey, CA 90241-2744 - Phone
- (562) 869-1070
- Fax
- (562) 286-8777
- NPI assigned
- Aug 31, 2006
- Last updated
- Nov 15, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A69205 | CA | Primary |
Addresses
Primary practice location
10441 Lakewood Blvd Ste Ab
Downey, CA 90241-2744
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A692050 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69205 | CA | MD | Pharmacist |
| A69205 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GN Medical Associates, Inc. | Family Medicine | Current | Accepting new patients |
| Careconnectmd Ca PC | Family Medicine | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Family Medicine | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
10441 Lakewood Blvd
Ste Ab
Downey, CA 90241
Phone (562) 869-1070
1750 Montgomery St
Fl 1
San Francisco, CA 94111
Phone (714) 619-8777
3401 W Sunflower Ave
#250
Santa Ana, CA 92704
Phone (415) 848-8258
3401 W Sunflower Ave
Ste 250
Santa Ana, CA 92704
Phone (714) 619-8777
1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611
473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
Interoperability endpoints
- schang207576@westdirect.optum.com
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.
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1366063125
-
dba Gerinet Medical Associates
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1275576522
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
Family Medicine
-
dba Optum
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763164800000",
"number": "1760594097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-579-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10441 LAKEWOOD BLVD STE AB",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902412744",
"telephone_number": "562-869-1070",
"fax_number": "562-286-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "SIMON",
"middle_name": "Y.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2025-11-15",
"certification_date": "2025-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A69205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A692050",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.