Active NPI
Jiachang Zhang, D.D.S
- Oral and Maxillofacial Surgery (Dentist)
- Encinitas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 50552
- Practice address
- 511 Encinitas Blvd Ste 118
Encinitas, CA 92024-3781 - Phone
- (760) 392-1279
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 50552 | CA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 50552 | CA | Primary |
Addresses
Primary practice location
511 Encinitas Blvd Ste 118
Encinitas, CA 92024-3781
Mailing address
135 S Hidden Path
Anaheim, CA 92801-5149
Phone (714) 999-0499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B50552-01 | Other | CA | HEALTHY FAMILY |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maria T Alarcon DDS Dental Corporation | Current | Accepting new patients | |
| Dr. Jiachang Zhang, Inc. | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
511 Encinitas Blvd
Ste 118
Encinitas, CA 92024
Phone (760) 392-1279
19682 Hesperian Blvd
Ste 106
Hayward Acres, CA 94541
Phone (510) 252-4003
19682 Hesperian Blvd
Ste 208
Hayward Acres, CA 94541
Phone (510) 253-2350
3927 Macdonald Ave
Richmond, CA 94805
Phone (510) 232-4003
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.
-
dba The Emergency Dental Center of Hayward practice of Maria Alarcon DDS
- Dental Clinic/Center
- Hayward, CA
- NPI 1467955369
-
- Oral and Maxillofacial Surgery (Dentist)
- Encinitas, CA
- NPI 1124585773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1578649604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 S HIDDEN PATH",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928015149",
"telephone_number": "714-999-0499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 ENCINITAS BLVD STE 118",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920243781",
"telephone_number": "760-392-1279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHANG",
"first_name": "JIACHANG",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "50552",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "50552",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY FAMILY",
"identifier": "B50552-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.