Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. PETER Y CHANG MD
NPI 1184667560
Student in an Organized Health Care Education/Training Program in Riverside, CA

Q: What is Peter Chang's NPI number?

The NPI number for Peter Chang is 1184667560. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Q: What is Peter Chang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Chang was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 14, 2006PECOS Enrolled

3975 JACKSON ST, SUITE 102, RIVERSIDE, CA 92503(951) 359-0660(951) 359-0897 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Peter Y Chang Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PETER Y CHANG MD (NPI 1184667560) is an individual student in an organized health care education/training program in Riverside, California, licensed in California (G42520) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184667560

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. PETER Y CHANGCredential: MD

Location Address3975 JACKSON ST, SUITE 102Riverside, CA 92503-3938

Mailing Address3975 Jackson St, Suite 102Riverside, CA 92503-3938 · (951) 359-0660 · Fax (951) 359-0897

Phone(951) 359-0660

Fax(951) 359-0897

Sole ProprietorNo

Enumeration DateJune 14, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1184667560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in CA · G42520

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3975 JACKSON ST, Riverside, CA 92503

Open in Google Maps ↗

Other Identifiers 1

MedicaidOOG425200CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Peter Y Chang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.