Active NPI
David M Chang, M.D.
- Internal Medicine Physician
- San Diego, CA
National Provider Identifier
1073596342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A43515
- Practice address
- 6699 Alvarado Rd Ste 2309
San Diego, CA 92120-5241 - Phone
- (619) 286-8803
- Fax
- (619) 286-2344
- NPI assigned
- Nov 21, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A43515 | CA | Primary |
Addresses
Primary practice location
6699 Alvarado Rd Ste 2309
San Diego, CA 92120-5241
Mailing address
PO Box 1009
Spring Valley, CA 91979-1009
Phone (619) 508-0908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A435150 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101004000055 | CA | Practitioner - Internal Medicine | 8527250067 | Practice locations: San Diego, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Geisel School of Medicine at Dartmouth, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6699 Alvarado Rd
San Diego, CA 92120-5241
Phone (619) 462-9010
Hospital & facility affiliations
- Archer Health Inc
- Grossmont Hospital
- Sharp Memorial Hospital
- Sharp Coronado Hospital and Hlthcr Ctr
Merit-based Incentive Payment System (MIPS)
- Final score
- 13.33 of 100
- Quality
- 26.67
- Improvement activities
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43515 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David M Chang MD Inc | Internal Medicine | Past | Accepting new patients |
| Grossmont Hospital Corporation | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1588191266
-
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
- Home Health Agency
- Carlsbad, CA
- NPI 1053741017
-
- General Acute Care Hospital
- Coronado, CA
- NPI 1154304475
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1407839921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1073596342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1009",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919791009",
"telephone_number": "619-508-0908",
"fax_number": "619-693-3242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6699 ALVARADO RD STE 2309",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921205241",
"telephone_number": "619-286-8803",
"fax_number": "619-286-2344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "DAVID",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A43515",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A435150",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.