| Crystal Chang, MD | |
|
180 Rowland Way, Novato, CA 94945-5009 | |
| (415) 290-1500 | |
| (415) 209-1501 |
| Full Name | Crystal Chang |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 14 Years |
| Location | 180 Rowland Way, Novato, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518253012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A140488 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John Muir Medical Center - Walnut Creek Campus | Walnut creek, CA | Hospital |
| John Muir Medical Center - Concord Campus | Concord, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| John Muir Magnetic Imaging Center | 9032019625 | 46 |
| Bass Medical Group | 9032111281 | 279 |
| Bay Imaging Consultants Medical Group Inc | 9537069125 | 123 |
| Entity Name | Bay Imaging Consultants Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356597637 PECOS PAC ID: 9537069125 Enrollment ID: O20040110000189 |
| Entity Name | John Muir Magnetic Imaging Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235184110 PECOS PAC ID: 9032019625 Enrollment ID: O20040110000222 |
| Entity Name | John Muir Trauma Physicians Billing Service |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093864837 PECOS PAC ID: 3476542515 Enrollment ID: O20050420001452 |
| Entity Name | Bass Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174253405 PECOS PAC ID: 9032111281 Enrollment ID: O20070201000181 |
| Entity Name | Prima Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811217946 PECOS PAC ID: 6406040138 Enrollment ID: O20101027000334 |
| Entity Name | Magnetic Imaging Affiliates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487040770 PECOS PAC ID: 5496066961 Enrollment ID: O20150624002629 |
| Entity Name | Epic Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780107797 PECOS PAC ID: 5890053094 Enrollment ID: O20171215002809 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Chang, MD 500 Redwood Blvd Ste 300, Novato, CA 94947-6921 Ph: (415) 884-3415 | Crystal Chang, MD 180 Rowland Way, Novato, CA 94945-5009 Ph: (415) 290-1500 |
Jean-pierre Phancao, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 Redwood Blvd Ste 300, Novato, CA 94947 Phone: 415-464-8081 | |
Ari Kane, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 180 Rowland Way, Novato, CA 94945 Phone: 415-209-1500 Fax: 415-209-1501 | |
Robert L Wirth, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 180 Rowland Way, Novato, CA 94945 Phone: 415-209-1500 Fax: 415-209-1501 | |
Ralph Maximillian Koenker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 180 Rowland Way, Novato, CA 94945 Phone: 415-290-1500 |