KENNY CHANG PAC NPI 1134397870

NPI Information

  • NPI: 1134397870
  • Provider Name: KENNY CHANG, PAC
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12021 WILSHIRE BLVD STE 745
    LOS ANGELES, CA
    ZIP 90025
  • Phone: (310) 348-1900

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NPI Details

Kenny Chang, PAC is a physician assistant in Los Angeles, CA. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Kenny Chang, PAC NPI is 1134397870. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12021 WILSHIRE BLVD STE 745
LOS ANGELES, CA
ZIP 90025-206
Phone: (310) 348-1900

The NPI 1134397870 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Removal of muscle and/or tissue, 20.0 sq cm or less (HCPCS:11043)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Removal of bone, 20.0 sq cm or less (HCPCS:11044)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Removal of bone, each additional 20.0 sq cm or less (HCPCS:11047)
  • Removal of muscle and/or tissue, each additional 20.0 sq cm or less (HCPCS:11046)
  • Application of chemical to stop tissue regrowth in wound (HCPCS:17250)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast (HCPCS:49450)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)

The enumeration date for this NPI number is 2/15/2008 and was last updated on 3/21/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1173000000XLegal MedicinePA16068CALIFORNIANo
2363A00000XPhysician AssistantPA16068CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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