Active NPI
David Chang, M.D.
- Orthopaedic Surgery of the Spine Physician
- Marina del Rey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- A93427
- Practice address
- 4640 Admiralty Way
Suite 600
Marina del Rey, CA 90292-6621 - Phone
- (310) 448-7890
- NPI assigned
- Apr 6, 2007
- Last updated
- Jun 11, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | A93427 | CA | Primary |
Addresses
Primary practice location
4640 Admiralty Way
Suite 600
Marina del Rey, CA 90292-6621
Mailing address
4640 Admiralty Way
Suite 600
Marina del Rey, CA 90292-6621
Phone (310) 448-7890
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- New York University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4640 Admiralty Way
Suite 600
Marina del Rey, CA 90292-6636
Phone (310) 448-7890
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 49 |
| Laminectomy or laminotomy (partial removal of spine bones) | 66 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A93427 | CA | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watkins Spine, Inc. | Current | Accepting new patients |
Locations
13160 Mindanao Way
Ste 325
Marina del Rey, CA 90292
Phone (310) 574-0388
4640 Admiralty Way
Ste 600
Marina del Rey, CA 90292
Phone (310) 448-7840
Interoperability endpoints
- dchang212195@direct.cshs.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Marina del Rey, CA
- NPI 1932314408
-
- Orthopaedic Surgery of the Spine Physician
- Marina del Rey, CA
- NPI 1255529129
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cedars-Sinai Marina Del Rey Hospital
- General Acute Care Hospital
- Marina del Rey, CA
- NPI 1942269725
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402444800000",
"number": "1467575472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4640 ADMIRALTY WAY",
"address_2": "SUITE 600",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926621",
"telephone_number": "310-448-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4640 ADMIRALTY WAY",
"address_2": "SUITE 600",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926621",
"telephone_number": "310-448-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2014-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "A93427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.