Crystal Chang (NPI# 1518253012, PAC ID# 9436444163) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1518253012 |
| PAC ID by PECOS | 9436444163 |
| Professional Enrollment ID | I20160819001770 |
| Full Name | Crystal Chang |
| Organization Legal Name | CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES, INC. |
| Address |
180 Rowland Way Novato CA 94945-5009 |
| Phone Number | 4152091500 |
| Gender | F |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 2011 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0244144228 |
| Number of Group Practice Members | 84 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050360 | MARIN GENERAL HOSPITAL |
| 050131 | NOVATO COMMUNITY HOSPITAL |
| 050090 | SONOMA VALLEY HOSPITAL |
| 050454 | UCSF MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1260 S Elideo Dr, Fl2, Greenbrae, CA 94904-2009 | 4158979664 | PRIMA MEDICAL FOUNDATION |
| 180 Rowland Way, Novato, CA 94945-5009 | 4152091500 | CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES, INC. |
| 347 Andrieux St, Sonoma, CA 95476-6811 | 7079355232 | CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES, INC. |
| Organization Legal Name | CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES, INC. |
| Physicians | 88 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deddeh Monique Ballah | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 600 Marine Blvd, Moss Beach, CA 94038-9641 |
| Neil Hemant Thakur | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Dennis S Orwig | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 180 Rowland Way, Novato, CA 94945-5009 |
| Avanti Ambekar | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 935 El Camino Real, Suite 101, South San Francisco, CA 94080-3203 |
| Kelly R. Lindauer | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 23004 Whipsering Woods, Golden, CO 80401-8038 |
| Edward L Baker | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 3555 Cesar Chavez, San Francisco, CA 94110-4403 |
| Jana M Crain | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 863 Corriente Point Dr, Redwood City, CA 94065-1284 |
| Betsy A Holland | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 1260 S Eliseo Dr, Suite 101, Greenbrae, CA 94904-2009 |
| Harriet B Borofsky | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 3700 California St, San Francisco, CA 94118-1618 |
| Clay Napper | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 3700 California St, San Francisco, CA 94118-1618 |
| Street Address |
180 ROWLAND WAY |
| City | NOVATO |
| State | CA |
| Zip | 94945-5009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis S Orwig | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 180 Rowland Way, Novato, CA 94945-5009 |
| Richard Bodony | Emergency Medicine | Cep America - California | 180 Rowland Way, Novato, CA 94945-5009 |
| Ross Crary | Emergency Medicine | Cep America - California | 180 Rowland Way, Novato, CA 94945-5009 |
| Philip S Kurzman | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 180 Rowland Way, Novato, CA 94945-5009 |
| Dylan A Easley | Emergency Medicine | Cep America - California | 180 Rowland Way, Novato, CA 94945-5009 |
| Patricia K Bruens | Emergency Medicine | Cep America - California | 180 Rowland Way, Novato, CA 94945-5009 |
| Jacob Adams | Critical Care (intensivists) | 180 Rowland Way, Novato, CA 94945-5009 | |
| Toby O Salz | Emergency Medicine | Cep America - California | 180 Rowland Way, Novato, CA 94945-5009 |
| Aaron J Andrade | Emergency Medicine | Cep America - California | 180 Rowland Way, Novato, CA 94945-5009 |
| Stacey N Massignan | Emergency Medicine | Cep America - California | 180 Rowland Way, Novato, CA 94945-5009 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Helen J Man Son Hing | Internal Medicine | Permanente Medical Group Inc | 97 San Marin Dr, Novato, CA 94945-1100 |
| David A Miller | Infectious Disease | Permanente Medical Group Inc | 97 San Marin Dr, Novato, CA 94945-1100 |
| David L Conant | Internal Medicine | Permanente Medical Group Inc | 97 San Marin Dr, Novato, CA 94945-1100 |
| Lindsay K Finkas | Allergy/immunology | Permanente Medical Group Inc | 97 San Marin Dr, Novato, CA 94945-1100 |
| Zakir H Halai | Internal Medicine | Permanente Medical Group Inc | 97 San Marin Dr, Novato, CA 94945-1100 |
| John W Fisk Jr. | Family Medicine | Permanente Medical Group Inc | 97 San Marin Dr, Novato, CA 94945-1100 |
| Steven H Kim | Nephrology | Permanente Medical Group Inc | 97 San Marin Dr, Novato, CA 94945-1100 |
| John D Culbertson | Internal Medicine | Permanente Medical Group Inc | 97 San Marin Dr, Novato, CA 94945-1100 |
| Sun H Costigan | Oral Surgery | 197 San Marin Dr, Novato, CA 94945-1254 | |
| Lee M Weissman | Qualified Audiologist | 505 A San Marin Dr, Suite 130, Novato, CA 94945-1321 | |
| Find all physicians in zip 94945 | |||
| City | NOVATO |
| Zip Code | 94945 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | NOVATO + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Crystal Chang.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.