JILL CHANG PA-C
NPI 1114112786
Physician Assistant - Medical in San Diego, CA
About Jill Chang Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JILL CHANG PA-C (NPI 1114112786) is an individual medical provider in San Diego, California, licensed in California (PA17949) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of University Of Southern California Keck School Of Medicine (2005).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jill Chang Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92121
SAN DIEGO, CA 92121
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jill Chang's NPI number?
The NPI number for Jill Chang is 1114112786. It was assigned to this individual provider in the NPPES registry on September 7, 2007.
Where is Jill Chang located?
Jill Chang practices at 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121. The listed phone number is (858) 859-1188.
What is Jill Chang's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Jill Chang enrolled in Medicare?
Yes. Jill Chang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Jill Chang was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jill Chang, PA-C · NPI 1114112786
Medical physician in San Diego, California. Individual provider, active in the CMS NPPES registry since September 7, 2007.
## Identity
- **NPI:** 1114112786 (Entity type: Individual)
- **Enumerated:** September 7, 2007
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA17949 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5717 PACIFIC CENTER BLVD STE 200, San Diego, CA 92121-4250
- **Phone:** (858) 859-1188
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Southern California Keck School Of Medicine, class of 2005
## Record status
- **NPPES last updated:** May 10, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1114112786) · Data from the CMS NPPES public registry.