DR. CATHERINE KYONGA CHANG MD
NPI 1750410262
Surgery - Vascular Surgery in San Diego, CA

Active since March 02, 2007PECOS EnrolledAccepts Medicare Assignment
4647 ZION AVE, SAN DIEGO, CA 92120(619) 528-7931(319) 528-3777 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 2, 2021, Oct 2, 2015 (2 updates tracked since 2015).

About Dr. Catherine Kyonga Chang Md NPPES

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

DR. CATHERINE KYONGA CHANG MD (NPI 1750410262) is an individual vascular surgery provider in San Diego, California, licensed in California (A79317) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2000).

NPPES Registry Identity

NPI1750410262
Entity TypeIndividualFemale
Primary Taxonomy2086S0129X
Provider Legal NameDR. CATHERINE KYONGA CHANGCredential: MD
Location Address4647 ZION AVESan Diego, CA 92120-2507
Mailing Address4647 Zion AveSan Diego, CA 92120-2507 · (619) 528-7931 · Fax (319) 528-3777
Fax(319) 528-3777
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2000
Enumeration DateMarch 2, 2007
Last NPPES UpdateDecember 2, 20212 updates tracked since enumeration
NPI 1750410262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses Licensed in CA · A79317 Licensed in FL · ME107331
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License A79317 (CA)
4647 ZION AVE, San Diego, CA 92120

Other Identifiers 1

Medicaid0024500400FL

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

Dr. Catherine Kyonga Chang Md 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.

PECOS PAC ID7810013794
PECOS Enrollment IDI20151109002376
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92120 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
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 20

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

Obstetrics & Gynecology
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine (Infectious Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine
4647 ZION AVE, DEPARTMENT OF HOSPITAL MEDICINE
SAN DIEGO, CA 92120
Pharmacist
4647 ZION AVE
SAN DIEGO, CA 92120
Nurse Anesthetist, Certified Registered
4647 ZION AVE
SAN DIEGO, CA 92120
Social Worker (Clinical)
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine (Pulmonary Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine (Infectious Disease)
4647 ZION AVE
SAN DIEGO, CA 92120

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 Catherine Chang's NPI number?

The NPI number for Catherine Chang is 1750410262. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Catherine Chang located?

Catherine Chang practices at 4647 Zion Ave, San Diego, CA 92120. The listed phone number is (619) 528-7931.

What is Catherine Chang's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Catherine Chang enrolled in Medicare?

Yes. Catherine 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 Catherine Chang was last updated on December 2, 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.