Individual provider Active NPI

Duncan Hwan Chang, P.T.

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1972601185
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21950 Issued in CA
Practice address
505 S Virgil Ave
Ste 203
Los Angeles, CA 90020-1453
Phone
(323) 732-3232
Fax
(323) 843-9594
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT21950 CA Primary

Addresses

Primary practice location

505 S Virgil Ave
Ste 203
Los Angeles, CA 90020-1453

Mailing address

505 S Virgil Ave
Ste 203
Los Angeles, CA 90020-1453
Phone (323) 732-3232

Other identifiers 1

IdentifierTypeStateIssuer
PT21950OtherCALIFORNIA PT BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040616000812 CA Practitioner - Physical Therapist in Private Practice 1355325382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

505 S Virgil Ave
Suite 203
Los Angeles, CA 90020-1453
Phone (323) 732-3232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT21950CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Rehab Center, Inc. Physical Therapist CurrentSince Jan 1, 2011 Accepting new patients
Honest Home Health Care Services Inc Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
David K. Young, M.D., Inc. Physical Therapy Past Accepting new patients
Universal Rehabilitation, Inc. Physical Therapist PastSince Nov 1, 2009 Accepting new patients
Napolitano Family Practice Medical Group, Inc. Physical Therapy Past Accepting new patients
Gary Chen MD Inc Physical Therapy Past Accepting new patients

Locations

4221 Wilshire Blvd
Ste 170-16
Los Angeles, CA 90010
Phone (213) 441-6780

505 S Virgil Ave
Ste 203
Los Angeles, CA 90020
Phone (323) 732-3232

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1972601185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S VIRGIL AVE",
            "address_2": "STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201453",
            "telephone_number": "323-732-3232",
            "fax_number": "323-843-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S VIRGIL AVE",
            "address_2": "STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201453",
            "telephone_number": "323-732-3232",
            "fax_number": "323-843-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "DUNCAN",
        "middle_name": "HWAN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA PT BOARD",
            "identifier": "PT21950",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.