Individual provider Active NPI

Isaac Song, DC

  • Chiropractor
  • Temecula, CA
National Provider Identifier
1346762747
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33906 Issued in CA
Practice address
29377 Rancho California Rd Ste 106
Temecula, CA 92591-5206
Phone
(951) 676-8686
NPI assigned
Jul 7, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33906 CA Primary

Addresses

Primary practice location

29377 Rancho California Rd Ste 106
Temecula, CA 92591-5206

Mailing address

29377 Rancho California Rd
Temecula, CA 92591-5289
Phone (909) 809-0128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240320004104 CA Practitioner - Chiropractic 6608213095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Song Chiropractic PCGroup PAC ID 5799122180, 2 clinicians

Practice addresses (Care Compare)

29377 Rancho California Rd
Suite 106
Temecula, CA 92591-5206
Phone (951) 676-8686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Song Chiropractic, PC Chiropractor CurrentSince Jan 15, 2024 Accepting new patients

Locations

29377 Rancho California Rd
Ste 106
Temecula, CA 92591
Phone (951) 587-2225

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1346762747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29377 RANCHO CALIFORNIA RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915289",
            "telephone_number": "909-809-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29377 RANCHO CALIFORNIA RD STE 106",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915206",
            "telephone_number": "951-676-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-07",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.