Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. MARISA CORINNE CHANG MD
NPI 1730348269
Psychiatry & Neurology - Neurology in Santa Monica, CA

Active since June 09, 2008Opted out of Medicare · through Jan 1, 2028
2730 WILSHIRE BLVD STE 320, SANTA MONICA, CA 90403(310) 382-1150(310) 382-1153 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Marisa Corinne Chang Md NPPES

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

MRS. MARISA CORINNE CHANG MD (NPI 1730348269) is an individual neurology provider in Santa Monica, California, licensed in California (A93323) and active in the NPI registry since June 2008. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1730348269
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameMRS. MARISA CORINNE CHANGCredential: MD
Location Address2730 WILSHIRE BLVD STE 320Santa Monica, CA 90403
Mailing Address2730 Wilshire Blvd Ste 320Santa Monica, CA 90403 · (310) 382-1150 · Fax (310) 382-1153
Fax(310) 382-1153
Sole ProprietorNo
Enumeration DateJune 9, 2008
Last NPPES UpdateJuly 15, 2026
NPPES CertifiedJuly 15, 2026
NPI 1730348269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in CA · A93323
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2730 WILSHIRE BLVD STE 320, Santa Monica, CA 90403

Other Identifiers 1

Medicaid00A93323CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Marisa Corinne Chang Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2012 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2012
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
2730 WILSHIRE BLVD STE 320
SANTA MONICA, CA 90403
Registered Nurse
2730 WILSHIRE BLVD STE 320
SANTA MONICA, CA 90403
Nurse Practitioner (Gerontology)
2730 WILSHIRE BLVD STE 320
SANTA MONICA, CA 90403

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 Marisa Chang's NPI number?

The NPI number for Marisa Chang is 1730348269. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Where is Marisa Chang located?

Marisa Chang practices at 2730 Wilshire Blvd Ste 320, Santa Monica, CA 90403. The listed phone number is (310) 382-1150.

What is Marisa Chang's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Marisa Chang enrolled in Medicare?

No. Marisa Chang has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Marisa Chang was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.