Active NPI
Charles Y Chang, MD
- Urology Physician
- Concord, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- C166684
- Practice address
- 2222 East St Ste 250
Concord, CA 94520-2096 - Phone
- (925) 609-7220
- NPI assigned
- Jun 5, 2009
- Last updated
- Dec 12, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | C166684 | CA | Primary |
| Urology Physician | 208800000X | MD60462997 | WA | |
| Urology Physician | 208800000X | 125054599 | IL | |
| Urology Physician | 208800000X | 314844 | NY |
Addresses
Primary practice location
2222 East St Ste 250
Concord, CA 94520-2096
Mailing address
1450 Treat Blvd Ste 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2828
Other practice location 1
3124 S 19th St # 320
Tacoma, WA 98405-2433
Phone (253) 301-5100
Other practice location 2
199 Mount Eden Pkwy
Bronx, NY 10457-7703
Phone (718) 992-7669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2222 E St
Suite 250
Concord, CA 94520-2096
Phone (925) 609-7220
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C166684 | CA | MD | Urology Physician |
| 125054599 | IL | MD | Urology Physician |
| MD60462997 | WA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronxcare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Bronxcare Health System | Current | Accepting new patients | |
| John Muir Physician Network | Current | Accepting new patients | |
| Bronxcare Health System | Past | Accepting new patients |
Locations
2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112
2222 East St
Ste 250
Concord, CA 94520
Phone (925) 609-7220
380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840
1450 Treat Blvd
Ste 300
Walnut Creek, CA 94597
1276 Fulton Ave
Rm 219
Bronx, NY 10456
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
3124 S 19th St
#320
Tacoma, WA 98405
Phone (253) 301-5100
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
Interoperability endpoints
- cchang178165@ehr.johnmuirhealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1841407665
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1245390855
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Methadone Clinic
- Bronx, NY
- NPI 1801428222
-
dba MultiCare Health System - Inland NW Region
- Family Medicine Physician
- Spokane, WA
- NPI 1386112977
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1417027558
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba John Muir Health, Walnut Creek Medical Center
- General Acute Care Hospital
- Walnut Creek, CA
- NPI 1740215219
-
dba John Muir Health Medical Center, Concord Campus
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1942436886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 TREAT BLVD STE 300",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945972168",
"telephone_number": "925-952-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 EAST ST STE 250",
"city": "CONCORD",
"state": "CA",
"postal_code": "945202096",
"telephone_number": "925-609-7220"
}
],
"practiceLocations": [
{
"address_1": "3124 S 19th St # 320",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984052433",
"country_code": "US",
"telephone_number": "253-301-5100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "199 Mount Eden Pkwy",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104577703",
"country_code": "US",
"telephone_number": "718-992-7669",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANG",
"first_name": "CHARLES",
"middle_name": "Y",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-05",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "C166684",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WA",
"license": "MD60462997",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IL",
"license": "125054599",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "314844",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.