Active NPI 1376860056 Individual Practitioner Male Practitioner

Dr. Alexander Tae-Shik Chang , MD

Surgery • Escondido, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Alexander Chang, MD is a certified Surgery practicing in Escondido, CA. With approximately 21 years of clinical experience since graduating from Ohio State University College Of Medicine in 2005, Dr. Chang delivers high-quality medical care to the local community at 2130 CITRACADO PKWY STE 300.

Dr. Chang is affiliated with Arch Health Partners Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, ultrasound study of arm or leg veins with compression and maneuvers, injection of chemical agent into multiple incompetent veins of leg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2130 Citracado Pkwy Ste 300

Escondido, CA 920294151

Telephone 7607397666

Associated Practice Facility / Clinic

🏢 Surgical Associates Of San Diego Pc Facility NPI 1205897592

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Escondido, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -14.3 yrs vs City Avg

City Avg: 35.3 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

12 Specialists

Practicing in Escondido, CA (3346 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

77.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Chang (21 Years) 21 Yrs

Escondido Specialty Average (35.3 Years) 35.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	385	230	$360.69	$136.62
99213 Established patient office or other outpatient visit, typically 15 minutes	276	153	$250.43	$96.89
93970 Ultrasound study of arm or leg veins with compression and maneuvers	245	221	$573.14	$204.05
36471 Injection of chemical agent into multiple incompetent veins of leg	175	40	$616.29	$233.55
93922 Ultrasound study of arm and leg arteries	155	132	$249.27	$73.80
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	150	131	$523.40	$177.14
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	147	60	$354.00	$134.82
93925 Ultrasound of leg arteries or artery grafts	140	118	$698.60	$269.44
93880 Ultrasound of both sides of head and neck blood flow	107	102	$558.86	$182.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	85	$425.69	$175.00
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	81	22	$268.00	$63.40
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	62	46	$4600.00	$1178.99
93886 Complete ultrasound of within the brain blood flow	57	57	$809.79	$313.48
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	56	38	$687.18	$39.95
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	37	37	$3901.08	$931.60
22612 Fusion of spine in lower back	36	36	$4082.44	$255.40
22845 Placement of stabilizing device to front, 2-3 spine bone segments	36	36	$1813.61	$112.43
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	33	23	$447.64	$160.66
36246 Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch	24	19	$2494.88	$909.77
36470 Injection of chemical agent into single incompetent vein	19	14	$373.47	$124.56
22614 Fusion of additional segment of spine	18	18	$985.33	$60.52
93888 Ultrasound of within the brain blood flow	16	15	$382.13	$143.69
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	14	11	$435.71	$151.23
22840 Placement of stabilizing device to back of 1 spine bone in neck	11	11	$1915.09	$117.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	425	219	$246.58	$136.73
93970 Ultrasound study of arm or leg veins with compression and maneuvers	207	176	$445.00	$207.70
99213 Established patient office or other outpatient visit, typically 15 minutes	183	107	$168.00	$96.51
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	144	55	$282.00	$136.48
93922 Ultrasound study of arm and leg arteries	119	102	$193.00	$73.84
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	114	103	$373.00	$186.60
93925 Ultrasound of leg arteries or artery grafts	110	99	$509.00	$269.55
93880 Ultrasound of both sides of head and neck blood flow	93	89	$397.00	$182.61
36471 Injection of chemical agent into multiple incompetent veins of leg	68	24	$457.00	$241.26
93886 Complete ultrasound of within the brain blood flow	62	61	$638.00	$311.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$309.00	$176.79
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	50	37	$4600.00	$1226.40
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	29	20	$587.00	$40.87
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	22	22	$2854.00	$961.84
22845 Placement of stabilizing device to front, 2-3 spine bone segments	22	21	$1340.00	$114.90
22612 Fusion of spine in lower back	22	21	$2947.00	$247.88
36200 Insertion of catheter into aorta	21	18	$1434.00	$674.08
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	21	16	$384.00	$163.41
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	16	12	$550.00	$300.83
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$427.00	$232.87
22840 Placement of stabilizing device to back of 1 spine bone in neck	12	12	$1399.00	$120.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	440	228	$196.55	$138.90
93970 Ultrasound study of arm or leg veins with compression and maneuvers	216	184	$390.78	$215.84
99213 Established patient office or other outpatient visit, typically 15 minutes	214	117	$133.91	$98.32
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	153	65	$245.35	$137.76
93922 Ultrasound study of arm and leg arteries	133	107	$218.23	$74.42
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	126	106	$309.57	$202.08
93925 Ultrasound of leg arteries or artery grafts	121	102	$432.01	$280.51
93880 Ultrasound of both sides of head and neck blood flow	85	79	$505.06	$186.25
93886 Complete ultrasound of within the brain blood flow	67	64	$811.27	$316.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$298.14	$178.81
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	54	39	$3906.59	$1259.08
36471 Injection of chemical agent into multiple incompetent veins of leg	52	26	$484.54	$224.41
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	44	23	$604.23	$168.53
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$358.79	$238.06
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	27	18	$403.26	$41.74
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	23	18	$4540.52	$1606.80
36200 Insertion of catheter into aorta	23	19	$1843.78	$694.53
75625 Radiological supervision and interpretation X-ray of abdominal aorta	22	14	$175.00	$140.75
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	21	17	$527.90	$310.07
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	19	19	$4328.21	$985.85
22612 Fusion of spine in lower back	18	18	$1919.44	$264.28
22845 Placement of stabilizing device to front, 2-3 spine bone segments	18	18	$1020.67	$117.51
93990 Ultrasound of dialysis access	17	12	$366.35	$143.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$247.69	$141.39
37229 Removal of plaque in artery of leg, initial vessel	15	12	$19165.20	$10262.24
93926 Ultrasound of one leg arteries or artery grafts	15	12	$308.33	$151.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	476	220	$162.00	$139.94
93970 Ultrasound study of arm or leg veins with compression and maneuvers	243	186	$379.00	$223.59
99213 Established patient office or other outpatient visit, typically 15 minutes	233	135	$104.00	$99.04
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	210	75	$242.00	$141.44
93922 Ultrasound study of arm and leg arteries	176	122	$238.00	$75.96
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	174	124	$262.00	$212.83
93925 Ultrasound of leg arteries or artery grafts	166	118	$372.00	$288.33
93880 Ultrasound of both sides of head and neck blood flow	112	95	$564.00	$201.82
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	61	61	$341.00	$237.74
93886 Complete ultrasound of within the brain blood flow	59	57	$885.00	$312.84
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	57	42	$4600.00	$1467.96
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	51	33	$669.00	$174.42
36471 Injection of chemical agent into multiple incompetent veins of leg	49	19	$575.00	$251.12
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	48	31	$260.67	$42.28
93990 Ultrasound of dialysis access	34	17	$372.00	$149.07
36200 Insertion of catheter into aorta	34	26	$2159.00	$714.80
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	31	26	$4600.00	$1752.17
22845 Placement of stabilizing device to front, 2-3 spine bone segments	31	31	$972.06	$118.89
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	30	30	$5529.33	$969.01
22612 Fusion of spine in lower back	29	29	$1656.00	$261.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	20	$237.00	$195.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$267.00	$180.34
75625 Radiological supervision and interpretation X-ray of abdominal aorta	19	17	$175.00	$130.49
22840 Placement of stabilizing device to back of 1 spine bone in neck	17	17	$747.47	$124.35
22614 Fusion of additional segment of spine	17	16	$411.94	$64.01
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	16	16	$1400.00	$208.92
36140 Insertion of needle or catheter into an artery of arm or leg	14	12	$1520.00	$367.13
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	13	$781.69	$124.82
36246 Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch	13	11	$3296.00	$1006.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	559	253	$104.00	$80.63
93970 Ultrasound study of arm or leg veins with compression and maneuvers	193	166	$373.58	$214.95
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	156	53	$242.00	$136.02
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	150	121	$259.30	$205.65
93922 Ultrasound study of arm and leg arteries	144	107	$233.86	$72.35
93925 Ultrasound of leg arteries or artery grafts	130	99	$368.17	$275.47
93880 Ultrasound of both sides of head and neck blood flow	101	88	$559.66	$207.76
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	61	36	$264.41	$42.78
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	57	37	$4600.00	$1545.91
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	53	53	$341.00	$221.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	42	$162.00	$117.24
93990 Ultrasound of dialysis access	48	19	$372.00	$151.23
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	39	31	$649.77	$164.18
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	36	36	$5655.00	$1002.09
22612 Fusion of spine in lower back	36	36	$1656.00	$267.21
22845 Placement of stabilizing device to front, 2-3 spine bone segments	34	34	$932.00	$120.41
36200 Insertion of catheter into aorta	32	29	$2159.00	$643.06
93886 Complete ultrasound of within the brain blood flow	31	29	$861.39	$300.75
22840 Placement of stabilizing device to back of 1 spine bone in neck	27	27	$778.00	$126.17
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	26	26	$1400.00	$212.00
22614 Fusion of additional segment of spine	24	24	$412.00	$64.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$267.00	$168.14
75625 Radiological supervision and interpretation X-ray of abdominal aorta	19	18	$175.00	$119.65
93926 Ultrasound of one leg arteries or artery grafts	19	13	$288.32	$144.57
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	15	12	$4600.00	$1728.82
35301 Removal of blood clot and portion of artery of neck	15	15	$3062.53	$1074.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$246.00	$143.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	512	256	$104.00	$77.57
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	141	124	$258.06	$197.82
93970 Ultrasound study of arm or leg veins with compression and maneuvers	140	130	$377.06	$209.56
93922 Ultrasound study of arm and leg arteries	123	104	$231.56	$70.86
93925 Ultrasound of leg arteries or artery grafts	110	95	$364.95	$267.92
93880 Ultrasound of both sides of head and neck blood flow	97	84	$559.48	$193.03
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	96	41	$242.00	$132.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	61	61	$341.00	$211.75
36471 Injection of chemical agent into multiple incompetent veins of leg	59	19	$575.00	$227.76
93886 Complete ultrasound of within the brain blood flow	50	50	$885.00	$289.61
93990 Ultrasound of dialysis access	44	27	$372.00	$147.99
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	39	39	$5655.00	$974.14
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	34	22	$4600.00	$1915.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$162.00	$114.36
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	24	16	$264.33	$41.63
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	23	19	$651.43	$166.90
22614 Fusion of additional segment of spine	22	16	$411.77	$62.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$267.00	$171.42
75625 Radiological supervision and interpretation X-ray of abdominal aorta	21	19	$175.00	$117.10
93926 Ultrasound of one leg arteries or artery grafts	19	17	$288.16	$141.30
36200 Insertion of catheter into aorta	17	16	$2159.00	$562.96
22612 Fusion of spine in lower back	16	16	$1656.00	$259.35
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	16	11	$3966.00	$1360.32
35301 Removal of blood clot and portion of artery of neck	14	14	$2289.14	$724.89
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	13	13	$1400.00	$206.45
22845 Placement of stabilizing device to front, 2-3 spine bone segments	12	12	$932.00	$117.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$250.00	$113.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	492	246	$104.00	$75.64
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	121	109	$262.00	$206.52
93970 Ultrasound study of arm or leg veins with compression and maneuvers	120	112	$379.00	$210.80
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	117	45	$242.00	$126.07
93922 Ultrasound study of arm and leg arteries	110	98	$238.00	$75.23
93925 Ultrasound of leg arteries or artery grafts	104	94	$372.00	$284.26
93880 Ultrasound of both sides of head and neck blood flow	96	87	$564.00	$197.73
36471 Injection of chemical agent into multiple incompetent veins of leg	90	31	$575.00	$187.56
93990 Ultrasound of dialysis access	64	35	$367.75	$146.37
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	57	57	$341.00	$213.97
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	52	32	$4600.00	$1610.84
93886 Complete ultrasound of within the brain blood flow	34	34	$885.00	$172.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	22	$162.00	$106.65
75625 Radiological supervision and interpretation X-ray of abdominal aorta	25	22	$175.00	$121.31
35301 Removal of blood clot and portion of artery of neck	24	22	$2492.67	$736.90
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	23	19	$669.00	$172.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$267.00	$170.59
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	22	22	$5655.00	$973.94
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	21	15	$3966.00	$1324.18
36200 Insertion of catheter into aorta	20	18	$2159.00	$574.94
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	19	14	$1852.00	$620.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$250.00	$112.46
76937 Ultrasonic guidance for blood vessel access	13	13	$105.00	$33.51
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$175.00	$91.07
76937 Ultrasonic guidance for blood vessel access	12	11	$105.00	$14.78
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$2650.00	$1168.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	459	234	$104.00	$75.20
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	144	54	$242.00	$121.42
93970 Ultrasound study of arm or leg veins with compression and maneuvers	112	106	$379.00	$202.25
93922 Ultrasound study of arm and leg arteries	105	87	$238.00	$74.46
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	94	94	$341.00	$208.45
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	93	86	$262.00	$189.24
93880 Ultrasound of both sides of head and neck blood flow	93	85	$564.00	$206.06
93925 Ultrasound of leg arteries or artery grafts	89	78	$372.00	$275.79
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	42	27	$4600.00	$1456.27
93990 Ultrasound of dialysis access	38	27	$372.00	$144.50
36471 Injection of chemical agent into multiple incompetent veins of leg	31	14	$575.00	$182.17
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	28	28	$5655.00	$955.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$267.00	$168.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$250.00	$111.54
75625 Radiological supervision and interpretation X-ray of abdominal aorta	21	19	$175.00	$125.32
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	18	15	$669.00	$170.86
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$185.00	$102.73
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	16	13	$3966.00	$1277.03
93926 Ultrasound of one leg arteries or artery grafts	15	12	$300.00	$142.63
35301 Removal of blood clot and portion of artery of neck	15	14	$2492.67	$814.93
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	14	14	$1400.00	$206.84
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$175.00	$89.91
76937 Ultrasonic guidance for blood vessel access	12	12	$105.00	$33.18
93886 Complete ultrasound of within the brain blood flow	12	12	$885.00	$290.14

Medical Specialties & State Licenses

CMS Verified: 2024-02-16

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A123245

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medical License

A123245 (CA)

Hospital & Practice Group Affiliations

Arch Health Partners Inc

28743 Valley Ctr Rd, Valley Center, CA 920826530

Phone: 7607490824

Arch Health Partners Inc

2125 Citracado Pkwy, Escondido, CA 920294159

Arch Health Partners Inc

15611 Pomerado Rd, Poway, CA 920642437

Phone: 8586753100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Stefan Moldovan , MD

Surgery

NPI 1245291624

Doctor of Medicine (M.D.)

Dr. Anatoly Bulkin , MD

Surgery - Vascular Surgery

NPI 1275593154

Doctor of Medicine (M.D.)

Dr. Jeremy Le , MD

Surgery - Vascular Surgery

NPI 1598285868

Doctor of Medicine (M.D.)

Dana Katz

Occupational Therapist

NPI 1831236975

Richard Brownsberger , PA

Physician Assistant

NPI 1871554592

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location February 16, 2024

Registered at 2130 CITRACADO PKWY STE 300, ESCONDIDO, CA 920294151 (Tel: 7607397666)

📍

Updated Business Mailing Address February 16, 2024

Registered at 120 CRAVEN RD STE 201, SAN MARCOS, CA 920784237 (Tel: 7602916650)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2024

Student in an Organized Health Care Education/Training Program

✅

NPI Profile Active March 26, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 26, 2013

Registered at 625 CITRACADO PKWY, SUITE 203, ESCONDIDO, CA 920256428 (Tel: 7607397666)

📍

Updated Business Mailing Address March 26, 2013

Registered at PO BOX 462079, ESCONDIDO, CA 920462079 (Tel: 4013456739)

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Provider Name / Credentials Updated March 26, 2013

Recorded as ALEXANDER CHANG, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2013

Surgery (License #A123245 in CA)

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Initial NPI Registration & Enumeration April 21, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376860056

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 21, 2010

Last Update: February 16, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

120 Craven Rd Ste 201

San Marcos, CA 920784237

Phone: 7602916650

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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