Active NPI
Suzanne Eun-Kyun Chang, MD
- Internal Medicine Physician
- Murrieta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A70933
- Practice address
- 39765 Date St
Ste 102
Murrieta, CA 92563-2005 - Phone
- (951) 894-4665
- Fax
- (951) 894-5178
- NPI assigned
- Jul 19, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A70933 | CA | Primary |
Addresses
Primary practice location
39765 Date St
Ste 102
Murrieta, CA 92563-2005
Mailing address
39765 Date St
Ste 102
Murrieta, CA 92563-2005
Phone (951) 894-4665
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Northeastern Ohio University College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
27450 Ynez Rd
Suite 106
Temecula, CA 92591-4649
Phone (951) 894-4665
28078 Baxter Rd
Suite 314
Murrieta, CA 92563-1404
Phone (951) 894-4665
39765 Date St
Murrieta, CA 92563-2005
Phone (951) 894-4665
Hospital & facility affiliations
- Loma Linda University Medical Center-Murrieta
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70933 | CA | MD | Pharmacist |
| A70933 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Crossing Corporation | Internal Medicine | Current | Accepting new patients |
| Loma Linda University Medical Center | Past | Accepting new patients |
Locations
39765 Date St
Ste 102
Murrieta, CA 92563
39765 Date St
Ste 100
Murrieta, CA 92563
Phone (951) 279-0100
27450 Ynez Rd
Ste 106
Temecula, CA 92591
Phone (951) 693-9373
Interoperability endpoints
- suzanne.chang.1@10674.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Murrieta, CA
- NPI 1518953298
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Murrieta, CA
- NPI 1588908388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1780603852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39765 DATE ST",
"address_2": "STE 102",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925632005",
"telephone_number": "951-894-4665",
"fax_number": "951-894-5178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39765 DATE ST",
"address_2": "STE 102",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925632005",
"telephone_number": "951-894-4665",
"fax_number": "951-894-5178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "SUZANNE",
"middle_name": "EUN-KYUN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A70933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.