Individual provider Active NPI

Susan Chang, D.D.S.

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1437203213
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40213 Issued in CA
Practice address
7380 Clairemont Mesa Blvd
Suite 100
San Diego, CA 92111-1115
Phone
(858) 715-8080
Fax
(858) 715-8081
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 40213 CA Primary

Addresses

Primary practice location

7380 Clairemont Mesa Blvd
Suite 100
San Diego, CA 92111-1115

Mailing address

7380 Clairemont Mesa Blvd
Suite 100
San Diego, CA 92111-1115
Phone (858) 715-8080

Other practice location 1

1910 Mission Ave Ste 4
Oceanside, CA 92058-7129
Phone (760) 631-5000

Other practice location 2

1000 Vale Terrace Dr
Vista, CA 92084-5218
Phone (760) 631-5000

Other practice location 3

201 S Harbor Blvd
LA Habra, CA 90631-5654
Phone (562) 264-6000

Other practice location 4

4700 N River Rd
Oceanside, CA 92057-6043
Phone (760) 631-5000

Other practice location 5

30195 Fraser Dr
Lake Elsinore, CA 92530-7006
Phone (951) 252-2720

Other practice location 6

815 College Blvd Ste 106
Oceanside, CA 92057-6261
Phone (760) 306-4466

Other practice location 7

950 Civic Center Dr
Vista, CA 92083-5208
Phone (760) 439-4839

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251204001838 CA Order and Referring Only - DentistPractitioner - Dentist 9234622580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40213CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Community Clinic PastSince Mar 22, 2020 Accepting new patients
Vista Community Clinic Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1437203213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 CLAIREMONT MESA BLVD",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111115",
            "telephone_number": "858-715-8080",
            "fax_number": "858-715-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 CLAIREMONT MESA BLVD",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111115",
            "telephone_number": "858-715-8080",
            "fax_number": "858-715-8081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 Mission Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920587129",
            "country_code": "US",
            "telephone_number": "760-631-5000",
            "fax_number": "760-414-3885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Vale Terrace Dr",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920845218",
            "country_code": "US",
            "telephone_number": "760-631-5000",
            "fax_number": "760-414-3892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 S Harbor Blvd",
            "address_purpose": "LOCATION",
            "city": "LA Habra",
            "state": "CA",
            "postal_code": "906315654",
            "country_code": "US",
            "telephone_number": "562-264-6000",
            "fax_number": "760-414-3892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 N River Rd",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920576043",
            "country_code": "US",
            "telephone_number": "760-631-5000",
            "fax_number": "760-414-3892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30195 Fraser Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "925307006",
            "country_code": "US",
            "telephone_number": "951-252-2720",
            "fax_number": "760-414-3892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 College Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920576261",
            "country_code": "US",
            "telephone_number": "760-306-4466",
            "fax_number": "760-414-3885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 Civic Center Dr",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920835208",
            "country_code": "US",
            "telephone_number": "760-439-4839",
            "fax_number": "760-414-3892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "SUSAN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.