Organization Active NPI

David G Song MD Inc

  • Urology Physician
  • Chino, CA
National Provider Identifier
1457997645
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
DAVID G SONG MD INC
Practice address
12611 9TH St Ste B
Chino, CA 91710-3528
Phone
(909) 902-0009
Fax
(909) 206-0628
NPI assigned
Nov 21, 2019
Organization subpart
Yes
Parent organization
DAVID G SONG MD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
David G Song, MDNPI 1699115972
Title
Ceo
Phone
(626) 234-9178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

12611 9TH St Ste B
Chino, CA 91710-3528

Mailing address

12611 9TH St Ste C
Chino, CA 91710-3528
Phone (626) 234-9178

Other practice location 1

320 S Garfield Ave Ste 106
Alhambra, CA 91801-3887
Phone (626) 628-2298

Other practice location 2

622 W Duarte Rd Ste 108
Arcadia, CA 91007-9269
Phone (626) 608-0648

Other practice location 3

14642 Newport Ave Ste 101
Tustin, CA 92780-6058
Phone (657) 255-8860

Other practice location 4

9041 Magnolia Ave Ste 7
Riverside, CA 92503-3941
Phone (951) 577-0085

Other practice location 5

639 E Foothill Blvd Ste C
San Dimas, CA 91773-1253
Phone (909) 480-3488

Other practice location 6

18575 Gale Ave Ste 108
City Of Industry, CA 91748-1382
Phone (626) 788-9080

Other names 1

  • Access Urology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200312001149 CA Part B Supplier - Clinic/Group Practice 9133557895 Receives reassigned benefits from 2 practitioners
Practice locations: Whittier, CA; Tustin, CA; San Dimas, CA; City of Industry, CA; Riverside, CA; Alhambra, CA; Chino, CA; Arcadia, CA

National Provider Directory

National Provider Directory
Part of
David G Song MD Inc

Locations

320 S Garfield Ave
Ste 108
Alhambra, CA 91801

12611 9th St
Chino, CA 91710

5365 Walnut Ave
Ste A
Chino, CA 91710
Phone (626) 234-9178

18575 Gale Ave
Ste 108
City of Industry, CA 91748
Phone (626) 319-4125

639 E Foothill Blvd
Ste C
San Dimas, CA 91773

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1457997645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12611 9TH ST STE C",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103528",
            "telephone_number": "626-234-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12611 9TH ST STE B",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103528",
            "telephone_number": "909-902-0009",
            "fax_number": "909-206-0628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 S Garfield Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Alhambra",
            "state": "CA",
            "postal_code": "918013887",
            "country_code": "US",
            "telephone_number": "626-628-2298",
            "fax_number": "626-628-2895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "622 W Duarte Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910079269",
            "country_code": "US",
            "telephone_number": "626-608-0648",
            "fax_number": "626-323-8113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14642 Newport Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927806058",
            "country_code": "US",
            "telephone_number": "657-255-8860",
            "fax_number": "657-255-8850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9041 Magnolia Ave Ste 7",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925033941",
            "country_code": "US",
            "telephone_number": "951-577-0085",
            "fax_number": "951-577-0092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "639 E Foothill Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "San Dimas",
            "state": "CA",
            "postal_code": "917731253",
            "country_code": "US",
            "telephone_number": "909-480-3488",
            "fax_number": "909-284-9548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18575 Gale Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "City Of Industry",
            "state": "CA",
            "postal_code": "917481382",
            "country_code": "US",
            "telephone_number": "626-788-9080",
            "fax_number": "626-514-2823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVID G SONG MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID G SONG MD INC",
        "enumeration_date": "2019-11-21",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-234-9178",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.