Individual provider Active NPI

David T. Chang, M.D.

  • Family Medicine Physician
  • Chula Vista, CA
National Provider Identifier
1386628980
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A80980 Issued in CA
Practice address
700 E Naples CT
Chula Vista, CA 91911-6821
Phone
(619) 482-6010
Fax
(619) 205-1906
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A80980 CA Primary

Addresses

Primary practice location

700 E Naples CT
Chula Vista, CA 91911-6821

Mailing address

700 E Naples CT
Chula Vista, CA 91911-6821
Phone (619) 482-6010

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426001453 CA Practitioner - Family Practice 0345237129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Veterans Home of California-Chula VistaGroup PAC ID 9133187941, 5 clinicians

Practice addresses (Care Compare)

700 E Naples CT
Chula Vista, CA 91911-6821
Phone (619) 482-6037

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80980CAMDPharmacist
A80980CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Veterans Home of California - Chula Vista CurrentSince Nov 1, 2005 Accepting new patients

Locations

700 E Naples Ct
Chula Vista, CA 91911
Phone (619) 482-6020

1227 O St
Rm 402
Sacramento, CA 95814

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386628980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E NAPLES CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116821",
            "telephone_number": "619-482-6010",
            "fax_number": "619-205-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E NAPLES CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116821",
            "telephone_number": "619-482-6010",
            "fax_number": "619-205-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "DAVID",
        "middle_name": "T.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A80980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.