Active NPI
Stephen W Soong, D.C.
- Rehabilitation Chiropractor
- Alhambra, CA
National Provider Identifier
1306031133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 30150
- Practice address
- 330 N Garfield Ave Ste 1
Alhambra, CA 91801-2400 - Phone
- (626) 458-3379
- Fax
- (626) 458-1429
- NPI assigned
- Sep 14, 2007
- Last updated
- Sep 25, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 30150 | CA | |
| Sports Physician Chiropractor | 111NS0005X | 30150 | CA | |
| Acupuncturist | 171100000X | 11958 | CA | |
| Rehabilitation Chiropractor | 111NR0400X | 30150 | CA | Primary |
Addresses
Primary practice location
330 N Garfield Ave Ste 1
Alhambra, CA 91801-2400
Mailing address
5404 Whitsett Ave # 88
Valley Village, CA 91607-1615
Phone (310) 594-2162
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30150 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen Soong Health Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Garfield Medical
- Health Service Clinic/Center
- Alhambra, CA
- NPI 1215570783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1306031133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5404 WHITSETT AVE # 88",
"city": "VALLEY VILLAGE",
"state": "CA",
"postal_code": "916071615",
"telephone_number": "310-594-2162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 N GARFIELD AVE STE 1",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918012400",
"telephone_number": "626-458-3379",
"fax_number": "626-458-1429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOONG",
"first_name": "STEPHEN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-14",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CA",
"license": "30150",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "30150",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "11958",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "30150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.