Brian Chang (NPI# 1164840013, PAC ID# 9830481480) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1164840013 |
| PAC ID by PECOS | 9830481480 |
| Professional Enrollment ID | I20170201001567 |
| Full Name | Brian Chang |
| Organization Legal Name | ACUTE MEDICAL PROVIDERS INC |
| Address |
15630 18th Ave Clearlake CA 95422-9336 |
| Phone Number | 7079946486 |
| Gender | M |
| Medical School | BROWN UNIVERSITY PROGRAM IN MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1153589874 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 051317 | ADVENTIST HEALTH CLEARLAKE |
| 050454 | UCSF MEDICAL CENTER |
| 050075 | KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND |
| Address | Phone | Organization |
|---|---|---|
| 15630 18th Ave, Clearlake, CA 95422-9336 | 7079946486 | ACUTE MEDICAL PROVIDERS INC |
| 400 Parnassus Ave, Mcb300, San Francisco, CA 94143-0810 | 4154761000 | UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER |
| Organization Legal Name | ACUTE MEDICAL PROVIDERS INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Rampulla | Emergency Medicine | Acute Medical Providers Inc | 15630 18th Ave, Clearlake, CA 95422-9336 |
| Dan L Field | Emergency Medicine | Acute Medical Providers Inc | 15630 18th Ave, Clearlake, CA 95422-9336 |
| Douglas Re Alfar Ii | Emergency Medicine | Acute Medical Providers Inc | 10 Woodland Rd, Saint Helena, CA 94574-9554 |
| Michael Reinberg | Emergency Medicine | Acute Medical Providers Inc | 15630 18th Ave, Clearlake, CA 95422-9336 |
| Eric L Sterling | Emergency Medicine | Acute Medical Providers Inc | 10 Woodland Rd, Saint Helena, CA 94574-9554 |
| Anne Marie Walker | Emergency Medicine | Acute Medical Providers Inc | 15630 18th Ave, Clearlake, CA 95422-9336 |
| Rodney B Look | Emergency Medicine | Acute Medical Providers Inc | 10 Woodland Rd, Saint Helena, CA 94574-9554 |
| Michael Chao Butterfield | Emergency Medicine | Acute Medical Providers Inc | 15630 18th Ave, Clearlake, CA 95422-9336 |
| Street Address |
15630 18TH AVE |
| City | CLEARLAKE |
| State | CA |
| Zip | 95422-9336 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geoffrey W Horn | Diagnostic Radiology | Adventist Health Clearlake Hospital Inc. | 15630 18th Ave, Clearlake, CA 95422-9336 |
| John E Rampulla | Emergency Medicine | Acute Medical Providers Inc | 15630 18th Ave, Clearlake, CA 95422-9336 |
| David D House | Family Medicine | Adventist Health Clearlake Hospital Inc. | 15630 18th Ave, Clearlake, CA 95422-9336 |
| David J Gonzales | Family Medicine | Rural Physicians Group PC | 15630 18th Ave, Clearlake, CA 95422-9336 |
| Dan L Field | Emergency Medicine | Acute Medical Providers Inc | 15630 18th Ave, Clearlake, CA 95422-9336 |
| Robert Howard Ford Ii | Certified Registered Nurse Anesthetist (crna) | Paramount Anesthesia Associates Inc | 15630 18th Ave, Clearlake, CA 95422-9336 |
| Hassan Sheikh Moghaddas | General Surgery | Adventist Health Clearlake Hospital Inc. | 15630 18th Ave, Clearlake, CA 95422-9336 |
| Lou Veroljub Ivanovic | Cardiovascular Disease (cardiology) | Adventist Health Clearlake Hospital Inc. | 15630 18th Ave, Clearlake, CA 95422-9336 |
| Michael Reinberg | Emergency Medicine | Acute Medical Providers Inc | 15630 18th Ave, Clearlake, CA 95422-9336 |
| Jennifer H Dowalter | Internal Medicine | 15630 18th Ave, Clearlake, CA 95422-9336 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric E Kim | Internal Medicine | 4456 Manzanita Ave, C, Clearlake, CA 95422-7937 | |
| Raymond D Jennings | Internal Medicine | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Martin Paukert | Plastic and Reconstructive Surgery | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Christopher P Lombardo | Otolaryngology | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Michael Rudolph Cosenza | Podiatry | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Andrew B Chung | Ophthalmology | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Ian D Macagy | Obstetrics/gynecology | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Jenny L Senff | Nurse Practitioner | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Kimberly Fordham | Family Practice | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Joanne Rode | Physician Assistant | 7000 B S Ctr Dr, Unit A, Clearlake, CA 95422-8131 | |
| Find all physicians in zip 95422 | |||
| City | CLEARLAKE |
| Zip Code | 95422 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | CLEARLAKE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Brian 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.