Active NPI
David Flemming Chang, M.D.
- Nephrology Physician
- Wildomar, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A71793
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A717930 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Temple University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates Medical Group Inc | Nephrology | Current | 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. | Past | 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
- dchang181864@direct.llu.edu
- 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.
-
- Nephrology Physician
- Riverside, CA
- NPI 1447200126
-
- General Acute Care Hospital
- Sun City, CA
- NPI 1881781482
-
- Specialist
- Riverside, CA
- NPI 1093264145
-
dba Temecula Valley Hospital
- General Acute Care Hospital
- Temecula, CA
- NPI 1679816201
-
dba Southwest Healthcare - Inland Valley Hospital
- General Acute Care Hospital
- Murrieta, CA
- NPI 1245221050
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1093720427
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lake Elsinore Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lake Elsinore, CA
- NPI 1205895869
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Menifee, CA
- NPI 1942620976
Dialysis facility
-
dba Redhawk Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Temecula, CA
- NPI 1861949331
Dialysis facility
-
dba Temecula Valley Hospital
- General Acute Care Hospital
- Temecula, CA
- NPI 1679816201
-
dba Southwest Healthcare - Inland Valley Hospital
- General Acute Care Hospital
- Murrieta, CA
- NPI 1245221050
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.