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DR. JAMIE DER JOON CHANG M.D., M.B.A
NPI 1750692448
Emergency Medicine in Los Angeles, CA

Active since June 28, 2010PECOS Enrolled
6041 CADILLAC AVENUE, KAISER WEST LA MEDICAL CENTER, EMERGENCY DEPARTMENT, LOS ANGELES, CA 90034(323) 857-3161 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jamie Der Joon Chang M.d., M.b.a NPPES

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

DR. JAMIE DER JOON CHANG M.D., M.B.A (NPI 1750692448) is an individual emergency medicine provider in Los Angeles, California, licensed in California (A117678) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750692448
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JAMIE DER JOON CHANGCredential: M.D., M.B.A
Location Address6041 CADILLAC AVENUE, KAISER WEST LA MEDICAL CENTER, EMERGENCY DEPARTMENTLos Angeles, CA 90034-1702
Mailing Address6041 Cadillac Avenue, Kaiser West La Medical Center, Emergency DepartmentLos Angeles, CA 90034-1702
Phone(323) 857-3161
Sole ProprietorYes
Enumeration DateJune 28, 2010
Last NPPES UpdateDecember 2, 2021
NPPES CertifiedDecember 2, 2021
✔ NPI 1750692448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A117678
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
6041 CADILLAC AVENUE, Los Angeles, CA 90034
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jamie Der Joon Chang M.d., M.b.a 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.

Medicare Billing Reassignment

Medicare enrollment records show Jamie Chang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
Same address
Health Maintenance Organization
6041 CADILLAC AVE
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1043242563 (323) 857-2000

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 90034 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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 2

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

MARK PHILIP DIMAPAWI PHARM.D.
Pharmacist
6041 CADILLAC AVENUE
LOS ANGELES, CA 90034
Los Angeles County (323) 857-3989
LIZETH MEDINA-CAMELLO FNP-BC
Nurse Practitioner (Family)
6041 CADILLAC AVENUE
LOS ANGELES, CA 90034
Los Angeles County (323) 857-3088

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 Jamie Chang's NPI number?

The NPI number for Jamie Chang is 1750692448. It was assigned to this individual provider in the NPPES registry on June 28, 2010.

Where is Jamie Chang located?

Jamie Chang practices at 6041 Cadillac Avenue Kaiser West La Medical Center, Emergency Department, Los Angeles, CA 90034. The listed phone number is (323) 857-3161.

What is Jamie Chang's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jamie Chang enrolled in Medicare?

Yes. Jamie Chang is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jamie Chang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Chang reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, 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 Jamie 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 Jamie 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.