DR. SIMON Y. CHANG (NPI# 1760594097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760594097 |
| Entity Type | Individual |
| Full Name | DR. SIMON Y. CHANG |
| Credential | M.D. |
| Practice Address |
13522 Newport Ave Suite 102 Tustin CA 92780-3707 |
| Practice Telephone | 7145738200 |
| Practice Fax Number | 7145739401 |
| Mailing Telephone | 7145738200 |
| Mailing Fax Number | 7145739401 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A69205 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A692050 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144780230 | Simon Chang | Student in an Organized Health Care Education/Training Program | University At Stony Brook Department of Pediatrics, Stony Brook, NY 11794-8111 | 2019-03-23 |
| 1285635458 | Simon Kuochen Chang | Obstetrics & Gynecology | 1100 Ward Ave, Suite Number 701, Honolulu, HI 96814-1600 | 2005-08-09 |
| Street Address |
13522 NEWPORT AVE SUITE 102 |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629421102 | Aditaim Lopez Martinez | Nurse Practitioner | 13522 Newport Ave, Unit 200, Tustin, CA 92780-3707 | 2016-07-19 |
| 1174975882 | Mobile Dentistry of Ca Inc | Durable Medical Equipment & Medical Supplies | 13522 Newport Ave, Suite 102, Tustin, CA 92780-3707 | 2016-07-06 |
| 1083903496 | Comprehensive Health Care Specialists Medical Group, Inc | Non-Pharmacy Dispensing Site | 13522 Newport Ave, Suite 102, Tustin, CA 92780-3707 | 2011-04-06 |
| 1780989509 | Orange County Hospice, LLC | Hospice Care, Community Based | 13522 Newport Ave, Suite 200, Tustin, CA 92780-3707 | 2011-01-26 |
| 1659450054 | Chest and Critical Care Consultants | Internal Medicine | 13522 Newport Ave, Suite 102, Tustin, CA 92780-3707 | 2006-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275153389 | Innovi Healthcare Inc. | Family Medicine | 11220 Amberdale Dr, Tustin, CA 92782-4329 | 2020-04-18 |
| 1669822284 | Carrie Jasmine Lam | Family Medicine | 2492 Walnut Ave Ste 100, Tustin, CA 92780-6953 | 2016-06-14 |
| 1669859203 | Todd Macauley | Family Medicine | 2560 Bryan Ave Ste A, Tustin, CA 92782-8922 | 2015-05-04 |
| 1427336791 | Good Shepherd Medical Clinic, Inc | Family Medicine | 661 W 1st St Ste G, Tustin, CA 92780-2939 | 2011-08-03 |
| 1457566036 | Shadia Ahmed | Family Medicine | 16634 Sonora St, Tustin, CA 92782-1938 | 2007-05-14 |
| 1619064953 | Tahany Maurice Habashy | Family Medicine | 222 West Main St, Suite 102, Tustin, CA 92780-7711 | 2006-10-06 |
| 1760594790 | Anthony F Naples | Family Medicine | 13095 Jamboree Rd, Tustin, CA 92782-9150 | 2006-08-31 |
| 1992760573 | Cheryl Ann Thomas | Family Medicine | 195 S C St, Ste 100, Tustin, CA 92780-3666 | 2006-04-18 |
| 1578523502 | Jonathan Andrew Dennis | Family Medicine | 111 Church Street, Tustin, MI 49688-5113 | 2006-03-24 |
| 1366401580 | Susan M Sharp | Family Medicine | 17400 Irvine Blvd M, Tustin, CA 92780-3030 | 2006-03-17 |
| Find all providers in TUSTIN | ||||
Please comment or provide details below to improve the information on DR. SIMON Y. CHANG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.