JIMMY CHANG DO
NPI 1639639735
Anesthesiology in Loma Linda, CA
About Jimmy Chang Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIMMY CHANG DO (NPI 1639639735) is an individual anesthesiology provider in Loma Linda, California, licensed in California (20A20333) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Torrance, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Jimmy Chang Do 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 Jimmy Chang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Anaheim, CA 92807
- Reassigned Medicare billing, California enrollment
- 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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 Jimmy Chang's NPI number?
The NPI number for Jimmy Chang is 1639639735. It was assigned to this individual provider in the NPPES registry on March 23, 2019.
Where is Jimmy Chang located?
Jimmy Chang practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-6202.
What is Jimmy Chang's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Jimmy Chang enrolled in Medicare?
Yes. Jimmy 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 Jimmy Chang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jimmy Chang reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, 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 Jimmy 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 Jimmy Chang was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jimmy Chang, DO · NPI 1639639735
Anesthesiology physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since March 23, 2019.
## Identity
- **NPI:** 1639639735 (Entity type: Individual)
- **Enumerated:** March 23, 2019
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 20A20333 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, Loma Linda, CA 92354-2804
- **Phone:** (909) 558-6202
## 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 1952333460, Anaheim, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1639639735) · Data from the CMS NPPES public registry.