Individual provider Active NPI

Dannie Chang

  • Dermatology Physician
  • Santa Barbara, CA
National Provider Identifier
1861830077
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A149590 Issued in CA
Practice address
105 W Mission St
Santa Barbara, CA 93101-2899
Phone
(805) 682-7874
Fax
(805) 682-7875
NPI assigned
Jun 10, 2013
Last updated
Mar 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A149590 CA Primary

Addresses

Primary practice location

105 W Mission St
Santa Barbara, CA 93101-2899

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Dannie.Chang@ffdwest.emadirect.md

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
I20180521003211 CA Practitioner - Dermatology 4486943560 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Michigan Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

105 W Mission St
Santa Barbara, CA 93101-2899
Phone (805) 682-7874

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions711
Removal or shaving of skin growth1-10
Skin biopsy188

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A149590CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology - Pacific, P.C. Dermatology CurrentSince Jan 1, 2024 Accepting new patients
Comprehensive Dermatology Group Dermatology CurrentSince Jun 15, 2019 Accepting new patients
Forefront Dermatology - Pacific, P.C. Dermatology CurrentSince Jan 1, 2024 Accepting new patients
Vipal Soni M.D., Inc. Dermatology CurrentSince Jun 3, 2022 Accepting new patients
Los Angeles ENT Facial Plastics Center, Inc Past Accepting new patients

Locations

781 Garden View Ct
Ste 201
Encinitas, CA 92024
Phone (760) 634-3316

17742 Beach Blvd
Ste 325
Huntington Beach, CA 92647
Phone (714) 375-5212

267 W Hillcrest Dr
Thousand Oaks, CA 91360
Phone (805) 497-1694

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: dannie.chang@ffdwest.emadirect.md

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, 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": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1861830077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W MISSION ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012899",
            "telephone_number": "805-682-7874",
            "fax_number": "805-682-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "DANNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A149590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dannie.Chang@ffdwest.emadirect.md",
            "affiliation": "N",
            "address_1": "105 W Mission St",
            "city": "Santa Barbara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "931012899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.