Individual provider Active NPI

Simon Y. Chang, M.D.

  • Family Medicine Physician
  • Downey, CA
National Provider Identifier
1760594097
Registry record updated Nov 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A69205 Issued in CA
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A692050MedicaidCA

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
I20050307000457 CA Practitioner - Family Practice 9739133588 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69205CAMDPharmacist
A69205CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GN Medical Associates, Inc. Family Medicine CurrentSince Oct 3, 2015 Accepting new patients
Careconnectmd Ca PC Family Medicine CurrentSince Feb 1, 2021 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince May 1, 2022 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince May 1, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.