Individual provider Active NPI

Christopher Chang, MD

  • Anesthesiology Physician
  • Irvine, CA
National Provider Identifier
1881632750
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G75772 Issued in CA
Practice address
3500 Barranca Pkwy Ste 130
Irvine, CA 92606-8227
Phone
(949) 552-6266
Fax
(949) 552-5038
NPI assigned
Jun 3, 2006
Last updated
Apr 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G75772 CA Primary

Addresses

Primary practice location

3500 Barranca Pkwy Ste 130
Irvine, CA 92606-8227

Mailing address

27401 Los Altos
180
Mission Viejo, CA 92691-6316
Phone (949) 582-9624

Other identifiers 1

IdentifierTypeStateIssuer
00G757720MedicaidCA

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
I20040721001062 CA Practitioner - Anesthesiology 7214917251 Reassigns benefits to 2 organizations
Practice locations: Irvine, CA; Newport Beach, CA; Orange, CA

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of California, Geffen School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Anesthesia Medical Group IncGroup PAC ID 6103728407, 185 clinicians

Practice addresses (Care Compare)

681 S Parker St
Orange, CA 92868-4719
Phone (714) 744-0900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G75772CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Anesthesiology Inc Anesthesiology CurrentSince Apr 24, 2023 Accepting new patients
Allied Anesthesia Medical Group Inc Anesthesiology CurrentSince Oct 1, 2024 Accepting new patients
Simi Valley Anesthesia Medical Group Anesthesiology Past Accepting new patients

Locations

3500 Barranca Pkwy
Ste 130
Irvine, CA 92606
Phone (949) 522-6266

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

681 S Parker St
Orange, CA 92868
Phone (714) 744-0439

681 S Parker St
Ste 150
Orange, CA 92868
Phone (562) 805-7918

Organizations & group practices 3

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1881632750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27401 LOS ALTOS",
            "address_2": "180",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916316",
            "telephone_number": "949-582-9624",
            "fax_number": "949-582-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 BARRANCA PKWY STE 130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926068227",
            "telephone_number": "949-552-6266",
            "fax_number": "949-552-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G75772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G757720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.