Individual provider Active NPI

Diana Julia Chang, MD

  • Otolaryngology Physician
  • Poway, CA
National Provider Identifier
1578143491
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A199082 Issued in CA
Practice address
12630 Monte Vista Rd Ste 206
Poway, CA 92064-2527
Phone
(858) 674-1165
NPI assigned
Apr 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A199082 CA Primary

Addresses

Primary practice location

12630 Monte Vista Rd Ste 206
Poway, CA 92064-2527

Mailing address

12630 Monte Vista Rd Ste 206
Poway, CA 92064-2527
Phone (858) 674-1165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Stanford University School of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12630 Monte Vista Rd
Suite 206
Poway, CA 92064-2526

12630 Monte Vista Rd
Suite 206
Poway, CA 92064-2527

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ashish K Wadhwa MD a Medical Corporation Otolaryngology CurrentSince Aug 1, 2026 Accepting new patients
Palomar Health PastSince Aug 1, 2026 Accepting new patients

Locations

12630 Monte Vista Rd
Ste 206
Poway, CA 92064
Phone (858) 355-0244

Interoperability endpoints

  • Direct secure messaging: dchang371939@direct.llu.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1578143491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12630 MONTE VISTA RD STE 206",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642527",
            "telephone_number": "858-674-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12630 MONTE VISTA RD STE 206",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642527",
            "telephone_number": "858-674-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "DIANA",
        "middle_name": "JULIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A199082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

Verify at the official NPI Registry.