1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

KEVIN CHANG MD
NPI 1881445765
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 29, 2024PECOS Enrolled
200 UCLA MEDICAL PLZ STE 140, LOS ANGELES, CA 90095(310) 794-7700 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Chang Md NPPES

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

KEVIN CHANG MD (NPI 1881445765) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881445765
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEVIN CHANGCredential: MD
Location Address200 UCLA MEDICAL PLZ STE 140Los Angeles, CA 90095-8344
Mailing Address757 Westwood Plz, UrologyLos Angeles, CA 90095-7419 · (310) 825-7911
Phone(310) 794-7700
Sole ProprietorNo
Enumeration DateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
✔ NPI 1881445765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 UCLA MEDICAL PLZ STE 140, Los Angeles, CA 90095
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Chang Md 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.

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.

SEAN JIN HYUK LEE PA-C
Physician Assistant
200 UCLA MEDICAL PLZ STE 140
LOS ANGELES, CA 90095
Los Angeles County (310) 794-2536
VICTOR NITTI M.D.
Urology
200 UCLA MEDICAL PLZ STE 140
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7700
DR. STUART HOLDEN
Urology
200 UCLA MEDICAL PLZ STE 140
LOS ANGELES, CA 90095
Los Angeles County (310) 825-1172
JEFFREY L VEALE M.D.
Urology
200 UCLA MEDICAL PLZ STE 140
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7152
DAVID KUPPERMANN MD
Urology
200 UCLA MEDICAL PLZ STE 140
LOS ANGELES, CA 90095
Los Angeles County (310) 206-8164
JUAN JOSE ANDINO MD
Urology
200 UCLA MEDICAL PLZ STE 140
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7700
LINDA ALLAHYARIAN NP
Nurse Practitioner (Family)
200 UCLA MEDICAL PLZ STE 140
LOS ANGELES, CA 90095
Los Angeles County (310) 794-3070
DR. TAMARA GRISALES M.D.
Obstetrics & Gynecology
200 UCLA MEDICAL PLZ STE 140
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7274

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 Kevin Chang's NPI number?

The NPI number for Kevin Chang is 1881445765. It was assigned to this individual provider in the NPPES registry on March 29, 2024.

Where is Kevin Chang located?

Kevin Chang practices at 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095. The listed phone number is (310) 794-7700.

What is Kevin Chang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kevin Chang enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kevin Chang was last updated on March 29, 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.