Individual provider Active NPI

David Flemming Chang, M.D.

  • Nephrology Physician
  • Wildomar, CA
National Provider Identifier
1043266240
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A71793 Issued in CA
Practice address
36320 Inland Valley Dr
Suite 308
Wildomar, CA 92595-7512
Phone
(951) 600-7630
Fax
(951) 600-7164
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A71793 CA Primary

Addresses

Primary practice location

36320 Inland Valley Dr
Suite 308
Wildomar, CA 92595-7512

Mailing address

3660 Park Sierra Dr Ste 203
Riverside, CA 92505-3071
Phone (951) 687-3400

Other practice location 1

31537 Rancho Pueblo Rd Ste 201
Temecula, CA 92592-4841
Phone (951) 687-7140

Other practice location 2

591 E Elder St Ste C
Fallbrook, CA 92028-5001
Phone (951) 687-7140

Other identifiers 1

IdentifierTypeStateIssuer
00A717930MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040409000477 CA Practitioner - NephrologyPractitioner - Internal Medicine 8921092396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Temple University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates Medical Group IncGroup PAC ID 5092604447, 64 clinicians

Practice addresses (Care Compare)

36320 Inland Valley Dr
Suite 307
Wildomar, CA 92595-7512
Phone (951) 600-7630

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates Medical Group Inc Nephrology CurrentSince Jul 1, 2003 Accepting new patients
Primecare Medical Group Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients
Nephrology Associates Medical Group, Inc. PastSince Aug 8, 2021 Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients

Locations

2057 Compton Ave
Ste 102
Corona, CA 92881
Phone (951) 736-6757

591 E Elder St
Ste C
Fallbrook, CA 92028
Phone (760) 731-8989

850 E Latham Ave
Ste D
Hemet, CA 92543
Phone (951) 652-3558

425 Diamond Dr
Ste 102
Lake Elsinore, CA 92530
Phone (951) 471-5711

29878 Haun Rd
Ste 200
Menifee, CA 92586
Phone (951) 672-7967

3660 Park Sierra Dr
Ste 203
Riverside, CA 92505
Phone (951) 687-3400

3660 Park Sierra Dr
Ste 208
Riverside, CA 92505
Phone (951) 687-2800

401 E Highland Ave
Ste 551
Sn Bernrdno, CA 92404
Phone (909) 882-1759

31537 Rancho Pueblo Rd
Ste 201
Temecula, CA 92592
Phone (951) 687-7140

36243 Inland Valley Dr
Ste 110
Wildomar, CA 92595
Phone (951) 600-7630

36320 Inland Valley Dr
Ste 307
Wildomar, CA 92595
Phone (909) 600-0110

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dchang181864@direct.llu.edu
  • Direct secure messaging: david.chang.1@19859.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1043266240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 PARK SIERRA DR STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053071",
            "telephone_number": "951-687-3400",
            "fax_number": "951-687-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36320 INLAND VALLEY DR",
            "address_2": "SUITE 308",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957512",
            "telephone_number": "951-600-7630",
            "fax_number": "951-600-7164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31537 Rancho Pueblo Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925924841",
            "country_code": "US",
            "telephone_number": "951-687-7140",
            "fax_number": "951-303-3565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "591 E Elder St Ste C",
            "address_purpose": "LOCATION",
            "city": "Fallbrook",
            "state": "CA",
            "postal_code": "920285001",
            "country_code": "US",
            "telephone_number": "951-687-7140",
            "fax_number": "951-303-3565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "DAVID",
        "middle_name": "FLEMMING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A71793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A717930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildomar, CA

Sources for this page

Verify at the official NPI Registry.