Ivy Chang, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A160546 Issued in CA

Practice address

1145 W Redondo Beach Blvd
Gardena, CA 90247-3511

Phone

(310) 538-6629

NPI assigned

Apr 22, 2015

Last updated

Jul 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Emergency Medicine

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Redondo Emergency Physicians IncGroup PAC ID 9032388269, 13 clinicians

Mission Viejo Emergency Medical Associates, Inc.Group PAC ID 7315090271, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital of Gardena Hospital, Gardena, CA, CCN 050468
• Cedar-Sinai Marina del Rey Hospital Hospital, Marina del Rey, CA, CCN 050740

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mission Viejo Emergency Medical Associates, Inc.

  • Emergency Medicine Physician
  • Laguna Beach, CA
  • NPI 1134355597

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Redondo Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Gardena, CA
  • NPI 1376834937

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Telemedicine365 Inc

  • Emergency Medicine Physician
  • El Segundo, CA
  • NPI 1912525817

  Single Specialty

  NPD
• California Em-I Medical Services, a Medical Corporation

  • Emergency Medicine Physician
  • Marina del Rey, CA
  • NPI 1801202692

  Single Specialty

  NPD (past)
• Phalarope Inpatient Services, a Medical Corporation

  • Internal Medicine Physician
  • Marina del Rey, CA
  • NPI 1831504760

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cedars-Sinai Marina Hospital

  dba Cedars-Sinai Marina Del Rey Hospital

  • General Acute Care Hospital
  • Marina del Rey, CA
  • NPI 1942269725
  Care Compare affiliation
• Gardena Hospital LP

  dba Memorial Hospital of Gardena

  • General Acute Care Hospital
  • Gardena, CA
  • NPI 1063412005
  Care Compare affiliation

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1891182374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 N PACIFIC COAST HWY STE 600",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452747",
            "telephone_number": "310-698-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 W REDONDO BEACH BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473511",
            "telephone_number": "310-538-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "IVY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A160546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Chan
• Stephanie Chang Sumule
• Dara Y Chang, PHARM. D
• Grace Ten-Rei Chang
• Helen Chang, LCSW
• Olivia Chang
• Walter S Chang, MD
• Yoonjin Chang, APRN, BC
• Ofelia Chaparro
• Brianna Chappelear

• Emergency Medicine Physician in Gardena, CA
• Providers in Gardena, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.

Verify at the official NPI Registry.