Individual provider Active NPI

David Bon-Chee Chang, DC

  • Chiropractor
  • Valencia, CA
National Provider Identifier
1093858938
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-30429 Issued in CA
Practice address
23310 Cinema Dr
Suite #104
Valencia, CA 91355-1612
Phone
(661) 255-2516
Fax
(661) 255-2517
NPI assigned
Feb 14, 2007
Last updated
Nov 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-30429 CA Primary

Addresses

Primary practice location

23310 Cinema Dr
Suite #104
Valencia, CA 91355-1612

Mailing address

23310 Cinema Dr
Suite #104
Valencia, CA 91355-1612
Phone (661) 255-2516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070409000667 CA Practitioner - Chiropractic 8325142904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23310 Cinema Dr
Valencia, CA 91355-1613
Phone (661) 255-2516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-30429CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
David Chang Chiropractic Inc Chiropractor CurrentSince Jan 1, 2013 Accepting new patients

Locations

23310 Cinema Dr
Ste 104
Valencia, CA 91355
Phone (661) 255-2516

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1093858938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23310 CINEMA DR",
            "address_2": "SUITE #104",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551612",
            "telephone_number": "661-255-2516",
            "fax_number": "661-255-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23310 CINEMA DR",
            "address_2": "SUITE #104",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551612",
            "telephone_number": "661-255-2516",
            "fax_number": "661-255-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "DAVID",
        "middle_name": "BON-CHEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-30429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.