James Song MD a Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

G75661 Issued in CA

Legal business name

JAMES SONG MD A PROFESSIONAL CORPORATION

Practice address

16404 Colima Rd FL 1
103A
Hacienda Heights, CA 91745-5502

Phone

(626) 581-8330

Fax

(626) 581-8411

NPI assigned

Oct 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. James H Song, M.D.NPI 1679662217

Title

President

Phone

(626) 581-8330

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

James Song M D a PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• James Song MD, a Professional Corporation

  • Non-Pharmacy Dispensing Site
  • City of Industry, CA
  • NPI 1497018295
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• James Song MD, a Professional Corporation

  • Non-Pharmacy Dispensing Site
  • City of Industry, CA
  • NPI 1497018295
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James H Song, M.D.

  • Specialist
  • City of Industry, CA
  • NPI 1679662217
  Medicare reassignment Authorized official
• Pavani Naini Reddy, MD

  • Internal Medicine Physician
  • Fullerton, CA
  • NPI 1982616124
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1043307291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16404 COLIMA RD FL 1",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917455502",
            "telephone_number": "626-581-8330",
            "fax_number": "626-581-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16404 COLIMA RD FL 1",
            "address_2": "103A",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917455502",
            "telephone_number": "626-581-8330",
            "fax_number": "626-581-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES SONG MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-581-8330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G75661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G756610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Joyce A Jacob, SCHOOL NURSE
• Juliana Jacobs
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• Jea Young Jeon, DDS
• Wilson Jian
• Zongliang Jiang
• Christopher Bryan Jimenez

• Specialist in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.