Edward T Chang, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A755780 Issued in CA

Practice address

111 N Atlantic Blvd Ste 242
Monterey Park, CA 91754-1578

Phone

(626) 318-5099

Fax

(800) 960-7130

NPI assigned

May 18, 2006

Last updated

Feb 3, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Hospitalist Medicine Physicians of California, Inc

  • Internal Medicine Physician
  • Apple Valley, CA
  • NPI 1184663965
  Medicare reassignment NPD
• Lodi Memorial Hospital Association, Inc

  dba Lodi Memorial Community Clinic - Iris

  • Primary Care Clinic/Center
  • Lodi, CA
  • NPI 1861649352
  Medicare reassignment NPD
• Lodi Memorial Hospital Association Inc

  dba Lodi Memorial Hospital

  • General Acute Care Hospital
  • Lodi, CA
  • NPI 1316938301
  NPD
• E & M Multispecialty Inc

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1285681874
  NPD (past)
• Gold Country Emergency Physicians Medical Group Inc

  • Hospitalist Physician
  • Turlock, CA
  • NPI 1174825947
  NPD (past)
• Quantum Healthcare Medical Associates Inc.

  • Hospitalist Physician
  • Colton, CA
  • NPI 1568490597

  Internal Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1780637199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 TIZIANO CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952122737",
            "telephone_number": "626-318-5099",
            "fax_number": "800-960-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N ATLANTIC BLVD STE 242",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541578",
            "telephone_number": "626-318-5099",
            "fax_number": "800-960-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "EDWARD",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A755780",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A755780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A755780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wan Ho Chan
• Winnie Chan
• Chang Medical, a Professional Corporation
• Andy Chang, ACUPUNCTRUIST
• Chen Tsung Chang, D.D.S.
• Eric Cheng Kun Chang, MD
• Michelle Chang, DDS
• Skyler Tienhou Chang, DAHM, L.AC, DIPL. OM
• Tai S. Chang, M.D.
• Tsang-Hung Chang, M.D.

• Internal Medicine Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.