Individual provider Active NPI

Andrew Luke Chang, M.D.

  • Radiation Oncology Physician
  • San Diego, CA
National Provider Identifier
1255513859
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
85308 Issued in CA
Practice address
9730 Summers Ridge Rd
San Diego, CA 92121-3101
Phone
(858) 549-7400
NPI assigned
Dec 5, 2007
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 29428 OK
Radiation Oncology Physician 2085R0001X 01064419A IN
Radiation Oncology Physician 2085R0001X 85308 CA Primary
Radiation Oncology Physician 2085R0001X MC-148 GU

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

Other identifiers 1

IdentifierTypeStateIssuer
200479910AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, CA, GU3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130214000058 OK Practitioner - Radiation Oncology 1850473091
I20140410001184 CA Practitioner - Radiation OncologyPractitioner - Hospice/Palliative Care 1850473091 Reassigns benefits to 1 organization
I20250613002587 GU Practitioner - Radiation Oncology 1850473091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation OncologyAlso: Hospice/Palliative Care
Education
Loma Linda University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proton Doctors Professional CorporationGroup PAC ID 7214202936, 13 clinicians

Practice addresses (Care Compare)

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

Merit-based Incentive Payment System (MIPS)

Final score
75.81 of 100Reported as group
Quality
51.62
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
85308CAMDMental Health Counselor
01064419AINMDRadiation Oncology Physician
29428OKMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proton Doctors Professional Corporation Radiation Oncology CurrentSince Aug 1, 2017 Accepting new patients
Proton Center Development Corporation Radiation Oncology Current Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Mar 22, 2025 Accepting new patients
Scripps Health Current Accepting new patients
Norman Urology Associates PC CurrentSince Dec 1, 2019 Accepting new patients
Indiana University Health Inc Past Accepting new patients
Indiana University Health Inc Past Accepting new patients
Oklahoma Sleep Institute LLC Past Accepting new patients
The Health and Hospital Corporation of Marion County Past Accepting new patients
Indiana University Health Inc Past Accepting new patients
University Radiation Oncology Associates, Inc. Radiation Oncology Past Accepting new patients
Hampton Roads Proton Beam Therapy Past Accepting new patients
Indiana University Health Proton Therapy Center, LLC Past Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients
Rady Children's Hospital San Diego Past Accepting new patients
Indiana University Health, Inc Past Accepting new patients

Locations

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

9730 Summers Ridge Rd
#100
San Diego, CA 92121
Phone (858) 549-7400

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

2117 Riverwalk Dr
Moore, OK 73160
Phone (405) 610-1656

2117 Riverwalk Dr
#A
Moore, OK 73160
Phone (405) 360-9966

500 E Robinson St
Ste 1300
Norman, OK 73071
Phone (405) 360-9966

5901 W Memorial Rd
Oklahoma City, OK 73142
Phone (405) 773-6700

Interoperability endpoints

  • Direct secure messaging: achang35986@scrippshlth.medalliesdirect.net
  • FHIR API: https://api.platform.athenahealth.com/13821/brand/2/csg/1/fhir/r4

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1255513859",
    "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": {
        "last_name": "CHANG",
        "first_name": "ANDREW",
        "middle_name": "LUKE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OK",
            "license": "29428",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01064419A",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "85308",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GU",
            "license": "MC-148",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200479910A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.