Active NPI
David C Chang, M.D.
- Orthopaedic Trauma Physician
- Newport Beach, CA
National Provider Identifier
1629255237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- A63440
- Practice address
- 307 Placentia Ave.
Suite # 111
Newport Beach, CA 92663 - Phone
- (949) 722-1112
- Fax
- (949) 631-6356
- NPI assigned
- Jan 25, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | A63440 | CA | Primary |
Addresses
Primary practice location
307 Placentia Ave.
Suite # 111
Newport Beach, CA 92663
Mailing address
PO Box 61117
Irvine, CA 92602-6037
Phone (949) 722-1112
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013003946 | Other | CA | GROUP NPI NUMBER |
| 364516869 | Other | CORPORATE TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A63440 | CA | MD | Orthopaedic Trauma Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David C Chang, MD, Inc. | Orthopaedic Trauma | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286150400000",
"number": "1629255237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 61117",
"city": "IRVINE",
"state": "CA",
"postal_code": "926026037",
"telephone_number": "949-722-1112",
"fax_number": "949-631-6356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 PLACENTIA AVE.",
"address_2": "SUITE # 111",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "92663",
"telephone_number": "949-722-1112",
"fax_number": "949-631-6356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "DAVID",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-25",
"last_updated": "2010-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "CA",
"license": "A63440",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI NUMBER",
"identifier": "1013003946",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORPORATE TAX ID",
"identifier": "364516869",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.