Active NPI
David Chang, PTA
- Physical Therapy Assistant
- Fountain Valley, CA
National Provider Identifier
1750119806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 50951
- Practice address
- 8740 Warner Ave
Fountain Valley, CA 92708-3205 - Phone
- (714) 435-9909
- NPI assigned
- Jul 22, 2024
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 50951 | CA | Primary |
Addresses
Primary practice location
8740 Warner Ave
Fountain Valley, CA 92708-3205
Mailing address
24331 El Toro Rd Ste 200
Laguna Woods, CA 92637-3116
Phone (949) 586-3200
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50951 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1750119806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24331 EL TORO RD STE 200",
"city": "LAGUNA WOODS",
"state": "CA",
"postal_code": "926373116",
"telephone_number": "949-586-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8740 WARNER AVE",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083205",
"telephone_number": "714-435-9909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "DAVID",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-22",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "50951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
- Julie Chan, PT, DPT
- Lisa Mika Chan, PA-C
- Steven Craig Chan, D.D.S.
- Chang W. Rhee, M.D., a Professional Corporation
- Courtney Leimomi Chang Wo, BT
- Eunice Chang, BEHAVIORAL TECHNICIA
- Jamie O Chang, L.AC.
- Kris Chang, BT
- Changing Directions Psychological Corporation
- Charee Marquez LMFT, Professional Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.