Individual provider Active NPI

Thomas J Chang, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Santa Rosa, CA
National Provider Identifier
1841315736
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3908 Issued in CA
Practice address
208 Concourse Boulevard
Suite 1
Santa Rosa, CA 95403-8210
Phone
(707) 544-3400
Fax
(707) 544-0137
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E3908 CA Primary

Addresses

Primary practice location

208 Concourse Boulevard
Suite 1
Santa Rosa, CA 95403-8210

Mailing address

208 Concourse Boulevard
Suite 1
Santa Rosa, CA 95403-8210
Phone (707) 544-3400

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080513000408 CA Practitioner - Podiatry 1850460197 Reassigns benefits to 2 organizations
Practice locations: Santa Rosa, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PNC MSK PCGroup PAC ID 2860862133, 8 clinicians

Practice addresses (Care Compare)

3536 Mendocino Ave
Suite 300B
Santa Rosa, CA 95403-3634
Phone (707) 237-3410

Merit-based Incentive Payment System (MIPS)

Final score
88.65 of 100Reported as group
Quality
68.04
Promoting interoperability
99
Improvement activities
40
Cost
75.11

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
81.89
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.79 of 100Reported as individual
Quality
97.8
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3908CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
PNC MSK, PC Foot & Ankle Surgery CurrentSince Mar 1, 2023 Accepting new patients
Bay Area Foot Care Inc Foot & Ankle Surgery CurrentSince Aug 1, 2022 Accepting new patients
PNC MSK, PC Foot & Ankle Surgery CurrentSince Mar 1, 2023 Accepting new patients
Bay Area Foot Care, Inc Foot & Ankle Surgery CurrentSince Aug 1, 2022 Accepting new patients

Locations

1600 Creekside Dr
Ste 3100
Folsom, CA 95630
Phone (916) 269-8865

2844 Summit St
Ste 107
Oakland, CA 94609
Phone (510) 463-3888

1100 Laurel St
Ste E
San Carlos, CA 94070
Phone (650) 595-4148

1 Shrader St
Ste 580
San Francisco, CA 94117
Phone (415) 292-0638

1580 Valencia St
Ste 109
San Francisco, CA 94110
Phone (415) 285-7711

2114 McKee Rd
San Jose, CA 95116
Phone (408) 272-2211

750 Las Gallinas Ave
Ste 115
San Rafael, CA 94903
Phone (415) 472-5575

208 Concourse Blvd
#1
Santa Rosa, CA 95403
Phone (707) 544-3400

3536 Mendocino Ave
Ste 300B
Santa Rosa, CA 95403
Phone (707) 237-3410

47 Penny Ln
Ste 1
Watsonville, CA 95076
Phone (831) 728-8844

Interoperability endpoints

  • Direct secure messaging: thomas.chang.1@20181.direct.athenahealth.com
  • Direct secure messaging: tchangdpm22470@hisp.ehr.sutterhealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1841315736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 CONCOURSE BOULEVARD",
            "address_2": "SUITE 1",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954038210",
            "telephone_number": "707-544-3400",
            "fax_number": "707-544-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 CONCOURSE BOULEVARD",
            "address_2": "SUITE 1",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954038210",
            "telephone_number": "707-544-3400",
            "fax_number": "707-544-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.