DAVID CHANG (NPI# 1689733255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689733255 |
| Entity Type | Individual |
| Full Name | DAVID CHANG |
| Credential | MD |
| Practice Address |
9961 Sierra Ave Fontana CA 92335-6720 |
| Mailing Address |
393 E Walnut St 3rd Floor Phr Systems Pasadena CA 91188-0001 |
| Practice Telephone | 9094273910 |
| Mailing Telephone | 6264053640 |
| Mailing Fax Number | 6264056768 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
A77999 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A779990 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689001281 | David D Chang | Pharmacist | 9601 S Tacoma Waty, Suite 105-106, Lakewood, WA 98499 | 2013-09-27 |
| 1962649145 | David Tsan-rue Chang | Acupuncturist | 6733 185th St, Fresh Meadows, NY 11365-3511 | 2009-01-09 |
| 1629255237 | David C Chang | Orthopaedic Surgery | 307 Placentia Ave., Suite # 111, Newport Beach, CA 92663 | 2008-01-25 |
| 1093858938 | David Bon-chee Chang | Chiropractor | 23310 Cinema Dr, Suite #104, Valencia, CA 91355-1612 | 2007-02-14 |
| 1063565497 | David Lee-hun Chang | Optometrist | 1848 Saratoga Avenue, Building 5/ Suite 5a, Saratoga, CA 95070 | 2007-01-19 |
| 1619981875 | David Keydai Chang | Psychiatry & Neurology | 1616 Westgate Cir, Suite 210, Brentwood, TN 37027-8019 | 2006-07-27 |
| 1720003114 | David Chang | Family Medicine | 17000 Se 272nd St, Covington, WA 98042 | 2006-07-13 |
| 1275502866 | David Chang | Anesthesiology | 2231 S Western Ave, Los Angeles, CA 90018-1302 | 2006-03-16 |
| 1487622718 | David Chang | Urology | 7650 River Rd Ste 300, North Bergen, NJ 07047-6527 | 2006-03-11 |
| 1316918881 | David S Chang | Orthopaedic Surgery | 1569 Solano Ave Ste 336, Berkeley, CA 94707-2116 | 2006-01-31 |
| Street Address |
9961 SIERRA AVE |
| City | FONTANA |
| State | CA |
| Zip Code | 92335-6720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560199 | Barbara Ann Mahoney | Nurse Practitioner | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2005-06-29 |
| 1023629979 | Whitney Mah | Speech-Language Pathologist | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-08-13 |
| 1083224166 | Jennifer Hull | Genetic Counselor, MS | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-08-04 |
| 1568081842 | Jorge Kareem Sierra | Radiologic Technologist | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-04-16 |
| 1821625963 | Syed Sajjad Sarwar Naqvi | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-26 |
| 1730716903 | Hannah Choi | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-26 |
| 1912534413 | Mia Raquel Montoya | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
| 1093342461 | Jennica Kahkejian | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
| 1881221299 | Youstina Youssef | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
| 1790312015 | Sara Tong | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| Find all providers in zip 92335 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891996773 | Jennifer K. Kim | Radiology | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2007-05-30 |
| 1174671028 | Jon Pin Lee | Radiology | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2007-01-08 |
| 1053469833 | Dip S. Sidhu | Radiology | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2007-01-08 |
| 1053469015 | Monica Lau Leung | Radiology | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2007-01-08 |
| 1437207354 | Soonhae L. Lee | Radiology | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2007-01-08 |
| 1912066572 | Sudha Sidhar | Radiology | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2006-12-08 |
| 1649347535 | Eva Luo | Radiology | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2006-11-29 |
| 1033286950 | Edmond Yang | Radiology | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2006-11-29 |
| 1831266840 | Akemi Chu-shih Chang | Radiology | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2006-11-29 |
| 1548337421 | Chih-cheng Chen | Radiology | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2006-11-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.