Active NPI
Lisa Chang Medical Corporation
- Obstetrics & Gynecology Physician
- Pasadena, CA
National Provider Identifier
1952656613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 20A12080
- Legal business name
- LISA CHANG MEDICAL CORPORATION
- Practice address
- 50 Alessandro PL Ste 430
Pasadena, CA 91105-3170 - Phone
- (626) 208-3988
- Fax
- (626) 210-2626
- NPI assigned
- Jul 18, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Chang, DO
- Title
- Ceo
- Phone
- (626) 208-3988
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 20A12080 | CA | Primary |
Addresses
Primary practice location
50 Alessandro PL Ste 430
Pasadena, CA 91105-3170
Mailing address
288 E Live Oak Ave a#128
Arcadia, CA 91006-5665
Phone (626) 208-3988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
288 E Live Oak Ave
Ste A128
Arcadia, CA 91006
288 E Live Oak Ave
#A128
Arcadia, CA 91006
1671 S Azusa Ave
Hacienda Heights, CA 91745
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Los Angeles, CA
- NPI 1437314218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763078400000",
"number": "1952656613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288 E LIVE OAK AVE A#128",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910065665",
"telephone_number": "626-208-3988",
"fax_number": "626-210-2626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 ALESSANDRO PL STE 430",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053170",
"telephone_number": "626-208-3988",
"fax_number": "626-210-2626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISA CHANG MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-18",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A",
"authorized_official_last_name": "CHANG",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-208-3988",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "20A12080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.