Organization Active NPI

David C Chang, MD, Inc.

  • Specialist
  • Newport Beach, CA
National Provider Identifier
1013003946
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A63440 Issued in CA
Legal business name
DAVID C CHANG, MD, INC.
Practice address
307 Placentia Ave
Suite # 111
Newport Beach, CA 92663-3310
Phone
(949) 722-1112
Fax
(949) 631-6356
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Marisol L Chang, RN, BSN
Title
Administrator
Phone
(949) 722-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A63440 CA Primary

Addresses

Primary practice location

307 Placentia Ave
Suite # 111
Newport Beach, CA 92663-3310

Mailing address

PO Box 61117
Irvine, CA 92602-6037
Phone (949) 722-1112

National Provider Directory

National Provider Directory

Locations

3420 Bristol St
Ste 750
Costa Mesa, CA 92626
Phone (714) 432-1438

1441 Avocado Ave
Ste 702
Newport Beach, CA 92660
Phone (949) 706-7886

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1013003946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61117",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926026037",
            "telephone_number": "949-722-1112",
            "fax_number": "949-631-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 PLACENTIA AVE",
            "address_2": "SUITE # 111",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633310",
            "telephone_number": "949-722-1112",
            "fax_number": "949-631-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C CHANG, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "MARISOL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-722-1112",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A63440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.