Individual provider Active NPI

Geraldine Chang, M.D.

  • Diagnostic Radiology Physician
  • Northridge, CA
National Provider Identifier
1831486539
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A122612 Issued in CA
Practice address
18436 Roscoe Blvd
Northridge, CA 91325-4107
Phone
(818) 435-1400
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A122612 CA Primary

Addresses

Primary practice location

18436 Roscoe Blvd
Northridge, CA 91325-4107

Mailing address

4100 Guardian St Ste 205
Simi Valley, CA 93063-6721
Phone (855) 504-4544

Other identifiers 1

IdentifierTypeStateIssuer
1831486539MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160718001545 CA Practitioner - Diagnostic RadiologyPractitioner - Nuclear MedicinePractitioner - Interventional Radiology 8123311818 Reassigns benefits to 21 organizations
I20230321001798 AZ Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 8123311818
I20260518001504 TX Practitioner - Diagnostic Radiology 8123311818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology, Nuclear Medicine
Education
University of California, San Diego School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Radiology PA 39 clinicians
Diagnostic Radiological Imaging 52 clinicians
Beverly Radiology Medical Group III 327 clinicians
Modesto Advanced Diagnostic Imaging Medical Center 62 clinicians
Stockton Diagnostic Imaging 59 clinicians
Norcal Imaging 79 clinicians
Kern Radiology Medical Group Inc 94 clinicians
Cedars-Sinai Medical Care Foundation 1,684 clinicians
Desert Advanced Imaging Medical Center 209 clinicians

Practice addresses (Care Compare)

La Canada, CA 91011
Phone (844) 866-2718

10101 Riverside Dr
Toluca Lake, CA 91602-2517
Phone (818) 762-2626

157 E Coolidge Ave
Modesto, CA 95350-4504
Phone (209) 524-6800

1801 E March LN
Suite A130
Stockton, CA 95210-6650
Phone 2094759871209474

2201 Walnut Ave
Suite 150
Fremont, CA 94538-2355
Phone (510) 713-1234

2301 Bahamas Dr
Bakersfield, CA 93309-0663
Phone (661) 326-9600

2428 Santa Monica Blvd
Suite 100
Santa Monica, CA 90404-2046
Phone (310) 582-7900

3200 Telegraph Ave
Oakland, CA 94609-3016
Phone (510) 663-1950

3310 Richmond Ave
Houston, TX 77098-3008
Phone (713) 589-5231

490 Paulette PL
La Canada, CA 91011-2728
Phone (585) 218-8005

Merit-based Incentive Payment System (MIPS)

Final score
84.28 of 100Reported as group
Quality
62.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.38 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40
Cost
77.19

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A122612CAMDDiagnostic Radiology Physician

Practice roles (25 of 26)

OrganizationSpecialtyStatusNew patients
Cigna Health Care of Arizona Inc. CurrentSince Oct 3, 2023 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Oct 1, 2021 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Sep 18, 2023 Accepting new patients
Mink Radiologic Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Jan 5, 2020 Accepting new patients
The Hill Medical Corporation Diagnostic Radiology Current Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Current Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Oct 3, 2023 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
The Huntington Medical Foundation Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Jan 14, 2023 Accepting new patients
Antelope Valley Outpatient Imaging Center, LLC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Jan 23, 2018 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Nov 5, 2022 Accepting new patients
Cigna Health Care of Arizona Inc Current Accepting new patients
The Hill Medical Corporation Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Jan 25, 2017 Accepting new patients
Innovative Radiology PA Diagnostic Radiology CurrentSince Aug 31, 2024 Accepting new patients
Dignity Health Past Accepting new patients
Rad Alliance, Inc. Past Accepting new patients
Huntington Medical Foundation Family Medicine Past Accepting new patients
Quantum Medical Radiology of California, P.C. Diagnostic Radiology Past Accepting new patients
Dignity Community Care Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations (25 of 66)

1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565

4915 E Baseline Rd
Ste 116
Gilbert, AZ 85234
Phone (480) 354-9200

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

6811 E Superstition Springs Blvd
Mesa, AZ 85209
Phone (480) 641-4000

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

3115 N 3rd Ave
Ste 140
Phoenix, AZ 85013
Phone (480) 455-1850

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

3003 N 3rd St
Phoenix, AZ 85012
Phone (602) 282-9800

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

2501 E Southern Ave
Ste 811
Tempe, AZ 85282
Phone (480) 820-2021

1920 E Baseline Rd
Tempe, AZ 85283
Phone (480) 345-5000

2301 Bahamas Dr
Bakersfield, CA 93309

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

3838 San Dimas St
Ste A120
Bakersfield, CA 93301
Phone (661) 328-9600

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

8670 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 358-2100

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

130 W Route 66
Ste 110
Glendora, CA 91740
Phone (818) 914-3384

47111 Monroe St
#1112
Indio, CA 92201

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1831486539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 GUARDIAN ST STE 205",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930636721",
            "telephone_number": "855-504-4544",
            "fax_number": "805-577-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18436 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254107",
            "telephone_number": "818-435-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "GERALDINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A122612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831486539",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.