Individual provider Active NPI

Shirley Yue Chang, DO

  • Family Medicine Physician
  • Goleta, CA
National Provider Identifier
1841879715
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A20939 Issued in CA
Practice address
5383 Hollister Ave Ste 160
Goleta, CA 93111-2357
Phone
(805) 681-0013
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A20939 CA Primary

Addresses

Primary practice location

5383 Hollister Ave Ste 160
Goleta, CA 93111-2357

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707

Other practice location 1

430 S Blosser Rd
Santa Maria, CA 93458-4908
Phone (805) 361-8017

Other practice location 2

1400 E Church St
Santa Maria, CA 93454-5906
Phone (805) 739-3374

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
I20230908001515 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 6709240773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5383 Hollister Ave
Suite 160
Goleta, CA 93111-2357
Phone (805) 565-0020

892 Aerovista PL
Suite 240
San Luis Obispo, CA 93401-8054
Phone (805) 541-8252

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A20939CAMDFamily Medicine Physician
20939CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Central Coast Inc CurrentSince Oct 26, 2023 Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Oct 26, 2023 Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
The Regents of the University of California Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
The Regents of the University of California CurrentSince Sep 1, 2024 Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
UCLA Medical Group Family Medicine Past Accepting new patients

Locations

5383 Hollister Ave
Ste 160
Goleta, CA 93111
Phone (805) 565-0020

4723 W Main St
Ste H
Guadalupe, CA 93434
Phone (805) 343-2004

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 55737
Los Angeles, CA 90074

150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254

892 Aerovista Pl
Ste 240
San Luis Obispo, CA 93401
Phone (805) 541-8252

430 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8900

2801 Santa Maria Way
Bldg A
Santa Maria, CA 93455
Phone (805) 938-9200

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

Interoperability endpoints

  • Direct secure messaging: schang1290191@direct.uclahealth.org

Organizations & group practices 7

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 4

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1841879715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5383 HOLLISTER AVE STE 160",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931112357",
            "telephone_number": "805-681-0013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 S Blosser Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934584908",
            "country_code": "US",
            "telephone_number": "805-361-8017",
            "fax_number": "805-361-8097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E Church St",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934545906",
            "country_code": "US",
            "telephone_number": "805-739-3374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "SHIRLEY",
        "middle_name": "YUE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A20939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goleta, CA

Sources for this page

Verify at the official NPI Registry.