OrganizationActive
Jim S Chang DDS Inc
NPI 1306953690 · Dentist · San Diego, CA
Jim S Chang DDS Inc is a Dentist organization in San Diego, CA (NPI 1306953690).
Provider details
- NPI number
- 1306953690
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jim Chang, Ceo(858) 484-9776
- License
- 34942 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12798 Ranch Penasquitos Blvd
Suite I
San Diego, CA 92129
Phone: (858) 484-9776
Fax: (858) 484-0721
Street-level locationGet directions
Mailing address
12798 Ranch Penasquitos Blvd
San Diego, CA 92129
Other names (DBA / former)
- Doing business as
- Penasquitos Point Family Dentristry
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2020-08-22
Frequently asked questions
- What is Jim S Chang DDS Inc's NPI number?
- Jim S Chang DDS Inc's National Provider Identifier (NPI) is 1306953690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jim S Chang DDS Inc?
- Jim S Chang DDS Inc is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Jim S Chang DDS Inc located?
- Jim S Chang DDS Inc's practice location on file with NPPES is 12798 Ranch Penasquitos Blvd, San Diego, CA 92129.
- What is Jim S Chang DDS Inc's phone number?
- The practice phone number listed in the NPPES registry for Jim S Chang DDS Inc is (858) 484-9776.
- Who is the authorized official for Jim S Chang DDS Inc?
- The authorized official listed on Jim S Chang DDS Inc's NPPES record is Jim Chang, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jim S Chang DDS Inc's NPI active?
- Yes — Jim S Chang DDS Inc's NPI (1306953690) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.