Jungsik Song, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

A86611 Issued in CA

Practice address

1000 Welch Rd Ste 203
Palo Alto, CA 94304-1808

Phone

(650) 498-5630

NPI assigned

Sep 20, 2007

Last updated

Aug 13, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jason Song Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1144416371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WELCH RD STE 203",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041808",
            "telephone_number": "650-498-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WELCH RD STE 203",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041808",
            "telephone_number": "650-498-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "JUNGSIK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-20",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A86611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASON",
            "last_name": "SONG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Barbara R Sommer, MD
• Jennifer Tan Somsouk, M.D.
• Yunjoo Hope Son
• Brian Young Song, OD
• Cynthia Song
• Sandeep Soni, MD
• Arvind Sonik, M.D.
• Sabina Sonneman, MD
• Cheyenne Cassel Sonntag, MD
• Irene Seungwan Sonu, MD

• Rheumatology Physician in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.