NPIMap

Organization Active NPI

Vicky Chang, DDS Corporation

Doing business as La Fontana Family Dental

  • Dentist
  • El Cojon, CA
National Provider Identifier
1437874112
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
VICKY CHANG, DDS CORPORATION
Doing business as
La Fontana Family Dental
Practice address
2694 Navjo Road
Suite #100
El Cojon, CA 92020
Phone
(619) 467-7691
Fax
(619) 467-7695
NPI assigned
Oct 5, 2022
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Vikcy Chang, D.D.S.
Title
President
Phone
(415) 269-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

2694 Navjo Road
Suite #100
El Cojon, CA 92020

Mailing address

10545 La Vita Court
San Diego, CA 92131
Phone (415) 269-3953

Other names 1

  • LA FONTANA FAMILY DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

2694 Navajo Rd
Ste 100
El Cajon, CA 92020
Phone (619) 667-0277

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1437874112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10545 LA VITA COURT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92131",
            "telephone_number": "415-269-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2694 NAVJO ROAD",
            "address_2": "SUITE #100",
            "city": "EL COJON",
            "state": "CA",
            "postal_code": "92020",
            "telephone_number": "619-467-7691",
            "fax_number": "619-467-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKY CHANG, DDS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "VIKCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-269-3953",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA FONTANA FAMILY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.