Sidney Tan Chang, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A125489 Issued in CA

Practice address

200 W Arbor Dr
Regents of the University of California
San Diego, CA 92103-9000

Phone

(858) 534-6290

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Ophthalmology

Education

JS Weill Medical College, Cornell University, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chesapeake Eye Care and Laser Center LLCGroup PAC ID 2769460971, 79 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: schang@vip.emadirect.md

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.

• Chesapeake Eye Care and Laser Center LLC

  • Ophthalmology Physician
  • Annapolis, MD
  • NPI 1548296262
  Medicare reassignment Care Compare group NPD
• Chesapeake Eye Care & Laser Center LLC

  • Ophthalmology Physician
  • Prince Frederick, MD
  • NPI 1811479470
  NPD
• Anesthesia Company, LLC

  • Anesthesiology Physician
  • Hagerstown, MD
  • NPI 1518897297
  NPD (past)
• Bergman Eye Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Hagerstown, MD
  • NPI 1235304312
  NPD (past)
• Eyes of York Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • York, PA
  • NPI 1740264811
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1790888006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DRIVE",
            "address_2": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031350",
            "telephone_number": "858-534-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "address_2": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "858-534-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "SIDNEY",
        "middle_name": "TAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2008017344",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "MD-15590",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D74915",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A125489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minoa K Chang, M.D., PH.D.
• Patricia Chang, RBT
• Russell J Chang, M.D.
• Samantha Chang, DDS
• Sharon Ngo Chang
• Sophia Chang, DACM, DIPL OM, LAC
• Susan Chang, D.D.S.
• Ting Hao Howard Chang, ACUPUNCTURIST
• Vicky Chang, D.D.S.
• Weilynn Chang, M.S.

• Ophthalmology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.

Verify at the official NPI Registry.