Active NPI
Frank Song
- Rehabilitation Practitioner
- El Cajon, CA
National Provider Identifier
1013755479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 700 N Johnson Ave Ste P
El Cajon, CA 92020-2589 - Phone
- (619) 441-1907
- Fax
- (619) 441-1908
- NPI assigned
- Jul 18, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
700 N Johnson Ave Ste P
El Cajon, CA 92020-2589
Mailing address
700 N Johnson Ave Ste P
El Cajon, CA 92020-2589
Phone (619) 441-1907
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1013755479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 N JOHNSON AVE STE P",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920202589",
"telephone_number": "619-441-1907",
"fax_number": "619-441-1908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 N JOHNSON AVE STE P",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920202589",
"telephone_number": "619-441-1907",
"fax_number": "619-441-1908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "FRANK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-18",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.