Alexander George Chang, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT301008 Issued in CA

Practice address

711 W 17TH St Ste C9
Costa Mesa, CA 92627-4343

Phone

(949) 529-1567

NPI assigned

Oct 14, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Mobile Therapy Specialists Inc.Group PAC ID 9638594898, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment Care Compare group NPD
• Mobile Therapy Specialists Inc

  • Physical Therapy Clinic/Center
  • Huntington Beach, CA
  • NPI 1235756677
  Medicare reassignment Care Compare group NPD
• Einhorn Mandas & Bradley Rehab Inc

  • Physical Therapist
  • Los Alamitos, CA
  • NPI 1629094420
  Medicare reassignment NPD

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1235892407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21906 PIONEER BLVD",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907161239",
            "telephone_number": "626-298-5437",
            "fax_number": "562-431-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 17TH ST STE C9",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274343",
            "telephone_number": "949-529-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ALEXANDER",
        "middle_name": "GEORGE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-14",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT301008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Paige Chan, RN
• Kayla Chan
• Marjorie M. Chan, NP
• Kevin Kethya Chanda
• Vidhi Chandnani
• CHI Chang, OD
• Gina Chang, PH.D, BCBA-D
• Lauren Nicole Chang
• Lawrence Chang, DPM
• Sue Chang

• Physical Therapist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.