JIN SUK CHANG M.D.
NPI 1619234168
Family Medicine in Valencia, CA
About Jin Suk Chang M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIN SUK CHANG M.D. (NPI 1619234168) is an individual family medicine provider in Valencia, California, licensed in California (A126816) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jin Suk Chang M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Jin Chang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clarita, CA 91387
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1396287082 (California)
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VALENCIA, CA 91355
SANTA CLARITA, CA 91355
SANTA CLARITA, CA 91355
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 Jin Chang's NPI number?
The NPI number for Jin Chang is 1619234168. It was assigned to this individual provider in the NPPES registry on April 20, 2012.
Where is Jin Chang located?
Jin Chang practices at 27201 Tourney Rd, Valencia, CA 91355. The listed phone number is (661) 222-2149.
What is Jin Chang's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jin Chang enrolled in Medicare?
Yes. Jin 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.
Which organization bills Medicare for Jin Chang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jin Chang reassigns Medicare benefits to Southern California Permanente Medical Group (Santa Clarita, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jin Chang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jin Chang was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jin Suk Chang, M.D. · NPI 1619234168
Family Medicine physician in Valencia, California. Individual provider, active in the CMS NPPES registry since April 20, 2012.
## Identity
- **NPI:** 1619234168 (Entity type: Individual)
- **Enumerated:** April 20, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A126816 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 27201 TOURNEY RD, Valencia, CA 91355-1854
- **Phone:** (661) 222-2149
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1316409410, Santa Clarita, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** November 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1619234168) · Data from the CMS NPPES public registry.