Individual provider Active NPI

David Chang, MD

  • Body Imaging Physician
  • Upland, CA
National Provider Identifier
1689733255
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
A77999 Issued in CA
Practice address
1684 Frankline PL
Upland, CA 91784-2551
Phone
(410) 571-0350
Fax
(410) 571-7069
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X A77999 CA Primary

Addresses

Primary practice location

1684 Frankline PL
Upland, CA 91784-2551

Mailing address

393 E Walnut St
3Rd Floor PHR Systems
Pasadena, CA 91188-0001
Phone (626) 405-3640

Other practice location 1

122 Defense Hwy Ste 102
Annapolis, MD 21401-7044
Phone (410) 571-0350

Other practice location 2

9961 Sierra Ave
Fontana, CA 92335-6720
Phone (909) 427-3910

Other identifiers 1

IdentifierTypeStateIssuer
00A779990MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050627000973 CA Practitioner - Diagnostic Radiology 8729023072 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Perelman School of Med at the University of Pennsylvania, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology P aGroup PAC ID 1254327950, 155 clinicians
Chesapeake Open MRI L L CGroup PAC ID 9931178373, 18 clinicians

Practice addresses (Care Compare)

1684 Frankline PL
Upland, CA 91784-2551
Phone (888) 972-9700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A77999CAMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Radiology P a CurrentSince Feb 1, 2026 Accepting new patients
Maryland Imaging Network PC CurrentSince Feb 1, 2026 Accepting new patients
Advanced Radiology P a CurrentSince Feb 1, 2026 Accepting new patients
Chesapeake Open MRI L L C CurrentSince Jul 6, 2024 Accepting new patients

Locations

26999 Network Pl
Chicago, IL 60673

122 Defense Hwy
Ste 102
Annapolis, MD 21401

10285 Little Patuxent Pkwy
Ste 450
Columbia, MD 21044
Phone (410) 343-4337

Organizations & group practices 4

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1689733255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 E WALNUT ST",
            "address_2": "3RD FLOOR PHR SYSTEMS",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911880001",
            "telephone_number": "626-405-3640",
            "fax_number": "626-405-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 FRANKLINE PL",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917842551",
            "telephone_number": "410-571-0350",
            "fax_number": "410-571-7069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Defense Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214017044",
            "country_code": "US",
            "telephone_number": "410-571-0350",
            "fax_number": "410-571-7069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9961 Sierra Ave",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923356720",
            "country_code": "US",
            "telephone_number": "909-427-3910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "A77999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A779990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.