Active NPI
Annie Song, N.P.
- Registered Nurse
- Oakland, CA
National Provider Identifier
1013189869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 17647
- Practice address
- 10700 Macarthur Blvd
Oakland, CA 94605 - Phone
- (510) 563-4300
- NPI assigned
- Apr 1, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 17647 | CA | Primary |
Addresses
Primary practice location
10700 Macarthur Blvd
Oakland, CA 94605
Mailing address
10700 Macarthur Blvd
Oakland, CA 94605
Phone (510) 563-4300
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terri R Dunn MD a Medical Corporation | Current | Accepting new patients | |
| City Health, a Medical Corporation | Current | Accepting new patients | |
| California Pacific Medical Group, Inc. | Past | Accepting new patients | |
| UCSF Health Community Hospitals | Past | Accepting new patients |
Locations
2828 Telegraph Ave
Berkeley, CA 94705
Phone (510) 644-4488
201 Dolores Ave
San Leandro, CA 94577
Phone (510) 984-2489
13690 E 14th St
Ste 100
San Leandro, CA 94578
Phone (510) 984-2489
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- San Leandro, CA
- NPI 1477940187
-
- Dermatology Physician
- Berkeley, CA
- NPI 1104088830
-
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1316061997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1013189869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 MACARTHUR BLVD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94605",
"telephone_number": "510-563-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 MACARTHUR BLVD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94605",
"telephone_number": "510-563-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "ANNIE",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-01",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "17647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.