Kevin Chang (NPI# 1649219452, PAC ID# 2668505447) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1649219452 |
| PAC ID by PECOS | 2668505447 |
| Professional Enrollment ID | I20100807000016 |
| Full Name | Kevin Chang |
| Organization Legal Name | PMK MEDICAL GROUP, INC. |
| Address |
1700 N Rose Ave Suite 320 Oxnard CA 93030-7648 |
| Phone Number | 8054858709 |
| Gender | M |
| Graduation Year | 1991 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 9739127614 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050082 | ST JOHNS REGIONAL MEDICAL CENTER |
| 050394 | COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA |
| 050616 | ST JOHNS PLEASANT VALLEY HOSPITAL |
| 051334 | OJAI VALLEY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1700 N Rose Ave, Suite 320, Oxnard, CA 93030-7648 | 8054858709 | PMK MEDICAL GROUP, INC. |
| Organization Legal Name | PMK MEDICAL GROUP, INC. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chirag J Dalsania | Hematology/oncology | Pmk Medical Group, Inc. | 1700 N Rose Ave, Suite 320, Oxnard, CA 93030-7648 |
| Fariborz Mortazavi | Hematology/oncology | Pmk Medical Group, Inc. | 2900 Loma Vista Rd, Suite 200, Ventura, CA 93003-2909 |
| Todd J Yates | Hematology/oncology | Pmk Medical Group, Inc. | 1700 N Rose Ave, Suite 320, Oxnard, CA 93030-7648 |
| Lynn Renai Kong | Hematology/oncology | Pmk Medical Group, Inc. | 1700 N Rose Ave, Suite 320, Oxnard, CA 93030-7648 |
| Street Address |
1700 N ROSE AVE SUITE 320 |
| City | OXNARD |
| State | CA |
| Zip | 93030-7648 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick Mccarty | General Surgery | General Surgery Medical Group of Ventura County | 1700 N Rose Ave, Suite 430, Oxnard, CA 93030-3793 |
| Glen Abergel | Infectious Disease | Dignity Health Medical Foundation | 1700 N Rose Ave, Suite 220, Oxnard, CA 93030-7640 |
| Robert C Streeter Iv | Family Medicine | Dignity Health Medical Foundation | 1700 N Rose Ave, Suite 210, Oxnard, CA 93030-7639 |
| Bora Kim | Internal Medicine | Dignity Health Medical Foundation | 1700 N Rose Ave, Suite 350, Oxnard, CA 93030-7627 |
| Kristin Anne Nurre | Nurse Practitioner | Dignity Health Medical Foundation | 1700 N Rose Ave, Suite 350, Oxnard, CA 93030-7627 |
| Chirag J Dalsania | Hematology/oncology | Pmk Medical Group, Inc. | 1700 N Rose Ave, Suite 320, Oxnard, CA 93030-7648 |
| Sicen He | Nurse Practitioner | Dignity Health Medical Foundation | 1700 N Rose Ave, Suite 210, Oxnard, CA 93030-7639 |
| Elvin M Park | Nurse Practitioner | Dignity Health Medical Foundation | 1700 N Rose Ave, Suite 350, Oxnard, CA 93030-7627 |
| Koji Kubo | Family Medicine | Dignity Health Medical Foundation | 1700 N Rose Ave, Suite 350, Oxnard, CA 93030-7627 |
| Sarah Marie Abraham | Nurse Practitioner | Dignity Health Medical Foundation | 1700 N Rose Ave, Suite 220, Oxnard, CA 93030-7640 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelene A Craft-maynor | Occupational Therapy | 1701 Solar Dr, Suite 195, Oxnard, CA 93030-0134 | |
| John A Huebner | Physician Assistant | Encephalogic Medical Group, Inc. | 1701 Solar Dr, Suite 140, Oxnard, CA 93030-0136 |
| James P Sutton | Neurology | Encephalogic Medical Group, Inc. | 1701 Solar Dr, Suite 140, Oxnard, CA 93030-0136 |
| Rachel Casas | Psychologist, Clinical | Encephalogic Medical Group, Inc. | 1701 Solar Dr, Suite 140, Oxnard, CA 93030-0136 |
| Erin Nicole Waite | Psychologist, Clinical | Encephalogic Medical Group, Inc. | 1701 Solar Dr, Suite 140, Oxnard, CA 93030-0136 |
| Steven A Rogers | Psychologist, Clinical | Encephalogic Medical Group, Inc. | 1701 Solar Dr, Suite 140, Oxnard, CA 93030-0136 |
| Larry Brown | Physical Therapy | 1701 Solar Dr, Suite 155, Oxnard, CA 93030-0139 | |
| David G Musgrove | Physical Therapy | 1701 Solar Dr, Oxnard, CA 93030-0139 | |
| Adrienne Lara | Obstetrics/gynecology | 1801 Solar Dr, Suite 150, Oxnard, CA 93030-0147 | |
| Yuly Gorodisky | Plastic and Reconstructive Surgery | 1801 Solar Dr, Suite 150, Oxnard, CA 93030-0147 | |
| Find all physicians in zip 93030 | |||
| City | OXNARD |
| Zip Code | 93030 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | OXNARD + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Kevin 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.