TOM S CHANG (NPI# 1609848969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609848969 |
| Entity Type | Individual |
| Full Name | TOM S CHANG |
| Credential | MD |
| Practice Address |
100 E California Blvd Pasadena CA 91105-3205 |
| Practice Telephone | 6265688838 |
| Practice Fax Number | 6265838838 |
| Mailing Telephone | 6265688838 |
| Mailing Fax Number | 6265838838 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | A69909 | CA | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
A69909 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS | 00A699090 | 01 | |
| CA | 00A699090 | 05 | |
| CA | 1609848969 | 05 |
| Street Address |
100 E CALIFORNIA BLVD |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639688179 | Renia Malek | Optometrist | 100 E California Blvd, Pasadena, CA 91105-3205 | 2017-09-27 |
| 1194185694 | Retina Institute of California | Optometrist | 100 E California Blvd, Pasadena, CA 91105 | 2016-02-26 |
| 1952714446 | Wesley Chew | Optometrist | 100 E California Blvd, Pasadena, CA 91105-3205 | 2014-06-03 |
| 1043565435 | Jessica Wai Chung Young | Optometrist | 100 E California Blvd, Pasadena, CA 91105-3205 | 2012-07-20 |
| 1871851923 | Sahar Bedrood | Ophthalmology | 100 E California Blvd, Pasadena, CA 91105 | 2012-04-26 |
| 1114205432 | Trilogy Eye Medical Group Inc | Optometrist | 100 E California Blvd, Pasadena, CA 91105-3205 | 2011-08-03 |
| 1164740460 | Ling Bei | Specialist | 100 E California Blvd, Pasadena, CA 91105-3205 | 2010-05-11 |
| 1114254711 | Jeffrey Lyle Stevens | Ophthalmology | 100 E California Blvd, Pasadena, CA 91105-3205 | 2009-11-03 |
| 1912136938 | Jennifer Ann Spiegel | Ophthalmology | 100 E California Blvd, Pasadena, CA 91105-3205 | 2009-07-12 |
| 1831327626 | Kweku Grant-acquah | Ophthalmology | 100 E California Blvd, Pasadena, CA 91105-3205 | 2009-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031363 | Salehi Retina Institute Inc. | Ophthalmology | 7777 Edinger Ave Ste 234, Huntington Beach, CA 92647-8693 | 2019-09-06 |
| 1669969960 | Vitreo-retinal Medical Group, Inc | Ophthalmology | 1680 E Roseville Pkwy Ste 140, Roseville, CA 95661-3988 | 2018-04-23 |
| 1144733403 | Vitreo-retinal Medical Group Inc | Ophthalmology | 1870 Lassen Blvd Ste B, Yuba City, CA 95993-9455 | 2017-11-08 |
| 1831608264 | Robert Kim | Ophthalmology | 95 Kirkham Avenue, 201, Box 0730, San Francisco, CA 94122 | 2017-09-28 |
| 1538687785 | Thomas Carl Salzano | Ophthalmology | 204 Gainsborough Circle, Folsom, CA 95630 | 2017-09-07 |
| 1992228795 | Central Coast Eye, Inc., A Professional Medical Corporation | Ophthalmology | 628 California Blvd Ste C, San Luis Obispo, CA 93401-2547 | 2017-07-24 |
| 1295013712 | Mukesh Bhogilal Suthar Md Inc | Ophthalmology | 10808 Foothill Blvd Ste 160-203, Rancho Cucamonga, CA 91730-3889 | 2011-08-01 |
| 1790928067 | Bay Area Retina Associates,medical Group | Ophthalmology | 1460 N Camino Alto Ste 109, Vallejo, CA 94589-2567 | 2009-04-15 |
| 1083857353 | Bay Area Retina Associates,medical Group | Ophthalmology | 15051 Hesperian Blvd Ste D, San Leandro, CA 94578-3536 | 2009-04-15 |
| 1942489356 | Ash Pirouz | Ophthalmology | 301 W Bastanchury Rd Ste 285, Fullerton, CA 92835-3432 | 2007-11-01 |
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| 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.