NPIMap

Individual provider Active NPI

Helen S Song, D.O.

  • Family Medicine Physician
  • Oakland, CA
National Provider Identifier
1124401666
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A14931 Issued in CA
Practice address
818 Webster St
Oakland, CA 94607-4220
Phone
(510) 986-6800
Fax
(510) 986-6896
NPI assigned
Jul 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 20A14931 CA Primary

Addresses

Primary practice location

818 Webster St
Oakland, CA 94607-4220

Mailing address

818 Webster St
Oakland, CA 94607-4220
Phone (510) 986-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191205003008 CA Practitioner - Family Practice 8022367978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asian Health ServicesGroup PAC ID 0244271021, 93 clinicians

Practice addresses (Care Compare)

818 Webster St
Oakland, CA 94607-4220
Phone (510) 986-6800

Hospital & facility affiliations

  • Asian Network Pacific Home Care, Inc Home health agency, Oakland, CA, CCN 557747
  • Centerwell Asian American Home Health Home health agency, Alameda, CA, CCN 557754
  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
  • Eden Medical Center Hospital, Castro Valley, CA, CCN 050488
  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
14931CAMDClinical Social Worker
20A14931CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asian Health Services CurrentSince Sep 16, 2019 Accepting new patients
Asian Health Services CurrentSince Sep 16, 2019 Accepting new patients
Asian Health Services Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

818 Webster St
Oakland, CA 94607
Phone (510) 986-6800

101 8th St
Ste 100
Oakland, CA 94607
Phone (510) 735-3100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hsong286190@direct.ochin.org

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1124401666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 WEBSTER ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074220",
            "telephone_number": "510-986-6800",
            "fax_number": "510-986-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 WEBSTER ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074220",
            "telephone_number": "510-986-6800",
            "fax_number": "510-986-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "HELEN",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A14931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.