Active NPI
Edwina M Chang, MD
- Body Imaging Physician
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- A160545
- Practice address
- 300 Pasteur Dr
Stanford, CA 94305-2200 - Phone
- (650) 723-4000
- NPI assigned
- Mar 27, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125.065581 | IL | |
| Radiation Oncology Physician | 2085R0001X | A160545 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | 125065581 | IL | |
| Body Imaging Physician | 2085B0100X | A160545 | CA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | A160545 | CA |
Addresses
Primary practice location
300 Pasteur Dr
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr # Mc5621
Stanford, CA 94305-2200
Other practice location 1
5841 S Maryland Ave
Mc2026
Chicago, IL 60637-1447
Phone (773) 702-3550
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 645-3534
360 San Miguel Dr
Suite 105And106
Newport Beach, CA 92660-7853
Phone (949) 365-3534
Hospital & facility affiliations
- Hoag Memorial Hospital Presbyterian
- Usc Kenneth Norris Jr Cancer Hospital
- Hoag Orthopedic Institute
- Uci Health-Orange
- City of Hope Helford Clinical Research Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.45 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 84.82
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.53 of 100
- Quality
- 87.08
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.065581 | IL | MD | Internal Medicine Physician |
| A160545 | CA | MD | Body Imaging Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newport Harbor Radiology Associates Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| County of Santa Clara | Internal Medicine | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| Stanford Health Care | Internal Medicine | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Newport Center Radiology Associates Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| University of Chicago Medical Center | Past | Accepting new patients |
Locations
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000
7999 Gateway Blvd
Ste 200
Newark, CA 94560
Phone (510) 806-2947
360 San Miguel Dr
Ste 105
Newport Beach, CA 92660
Phone (949) 365-3534
360 San Miguel Dr
Ste 105106
Newport Beach, CA 92660
1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624
360 San Miguel Dr
Ste 1
Newport Beach, CA 92660
Phone (949) 365-3534
Dept LA 21555
Pasadena, CA 91185
Phone (949) 236-8620
Dept LA 21705
Pasadena, CA 91185
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050
1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
300 Pasteur Dr
#5621
Stanford, CA 94305
Phone (206) 583-6079
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
Organizations & group practices 10
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.
-
- Diagnostic Radiology Physician
- Newport Beach, CA
- NPI 1013951714
-
- Diagnostic Radiology Physician
- Newport Beach, CA
- NPI 1053355792
Internal Medicine
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1629301346
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1043354020
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1376538991
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1861792517
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Duarte, CA
- NPI 1750358297
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- Special Hospital
- Irvine, CA
- NPI 1982927877
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1417554528
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1861819823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR # MC5621",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
}
],
"practiceLocations": [
{
"address_1": "5841 S Maryland Ave",
"address_2": "MC2026",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606371447",
"country_code": "US",
"telephone_number": "773-702-3550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANG",
"first_name": "EDWINA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-27",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125.065581",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "A160545",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "125065581",
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "CA",
"license": "A160545",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A160545",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.