Active NPI
Susan Chang, D.D.S.
- General Practice Dentistry
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 40213
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251204001838 | CA | Order and Referring Only - Dentist | 9234622580 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40213 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vista Community Clinic | Past | 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.
-
- Federally Qualified Health Center (FQHC)
- La Habra, CA
- NPI 1497203541
-
- Dentist
- Oceanside, CA
- NPI 1578198503
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.