Organization Active NPI

Proton Center Development Corporation

  • Radiation Oncology Physician
  • San Diego, CA
National Provider Identifier
1174186175
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
PROTON CENTER DEVELOPMENT CORPORATION
Practice address
9730 Summers Ridge Rd
San Diego, CA 92121-3101
Phone
(858) 549-7400
NPI assigned
Apr 16, 2019
Last updated
Oct 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Andrew L Chang, MDNPI 1255513859
Title
Owner
Phone
(405) 773-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

9730 Summers Ridge Rd
San Diego, CA 92121-3101

Mailing address

9730 Summers Ridge Rd
San Diego, CA 92121-3101
Phone (858) 549-7400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1174186175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 SUMMERS RIDGE RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213101",
            "telephone_number": "858-549-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 SUMMERS RIDGE RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213101",
            "telephone_number": "858-549-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTON CENTER DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-773-6700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 23, 2025; 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.