Individual provider Active NPI

Elisa Lee Chang, M.D.

  • Infectious Disease Physician
  • Pasadena, CA
National Provider Identifier
1811284193
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A117197 Issued in CA
Practice address
960 E Green St Ste 105
Pasadena, CA 91106-2443
Phone
(626) 304-0782
Fax
(626) 310-0552
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X A117197 CA Primary

Addresses

Primary practice location

960 E Green St Ste 105
Pasadena, CA 91106-2443

Mailing address

PO Box 1449
Brea, CA 92822-1449
Phone (714) 996-1633

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
I20141103001051 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 8820267180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Chicago College of Medicine and Surgery, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

950 S Arroyo Pkwy
FL 3
Pasadena, CA 91105-3932
Phone (626) 304-0782

Hospital & facility affiliations

  • Pasadena Home Health Care Home health agency, Pasadena, CA, CCN 058129
  • Usc Arcadia Hospital Hospital, Arcadia, CA, CCN 050238
  • Huntington Hospital Hospital, Pasadena, CA, CCN 050438

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A117197CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elisa Chang MD Inc Infectious Disease CurrentSince Sep 1, 2014 Accepting new patients
New York Westchester SQ Med Ctr Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Dignity Community Care Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients

Locations

950 S Arroyo Pkwy
Fl 3
Pasadena, CA 91105
Phone (626) 449-4859

959 E Walnut St
Ste 120
Pasadena, CA 91106
Phone (626) 795-1831

960 E Green St
Ste 105
Pasadena, CA 91106
Phone (626) 304-0782

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1811284193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1449",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928221449",
            "telephone_number": "714-996-1633",
            "fax_number": "714-996-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST STE 105",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062443",
            "telephone_number": "626-304-0782",
            "fax_number": "626-310-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ELISA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A117197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.