Organization Active NPI

Don Son, MD, Inc.

  • Primary Care Clinic/Center
  • Anaheim, CA
National Provider Identifier
1629332614
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A121306 Issued in CA
Legal business name
DON SON, MD, INC.
Practice address
408 S Beach Blvd Ste 206
Anaheim, CA 92804-1853
Phone
(714) 527-2240
Fax
(714) 527-2328
NPI assigned
Jun 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Authorized official

Name
Dr. Don Dongsoo Son, MDNPI 1558564898
Title
President
Phone
(714) 527-2240

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
Primary Care Clinic/Center 261QP2300X A121306 CA Primary

Addresses

Primary practice location

408 S Beach Blvd Ste 206
Anaheim, CA 92804-1853

Mailing address

408 S Beach Blvd
Suite 204
Anaheim, CA 92804-1878
Phone (714) 527-2240

Other identifiers 1

IdentifierTypeStateIssuer
6977240MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120712000367 CA Part B Supplier - Clinic/Group Practice 5092970384 Receives reassigned benefits from 1 practitioner
Practice locations: Anaheim, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2048609Don Son, MD, Inc.408 S. Beach Blvd., Ste. 206, Anaheim, CA 92804Certificate of waiverOct 18, 2026

National Provider Directory

National Provider Directory

Locations

408 S Beach Blvd
#206
Anaheim, CA 92804

408 S Beach Blvd
Ste 204
Anaheim, CA 92804
Phone (714) 527-2240

408 S Beach Blvd
Ste 206
Anaheim, CA 92804
Phone (714) 527-2240

Practitioners & affiliated clinicians

Practitioners 1

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": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1629332614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S BEACH BLVD",
            "address_2": "SUITE 204",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041878",
            "telephone_number": "714-527-2240",
            "fax_number": "714-527-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S BEACH BLVD STE 206",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041853",
            "telephone_number": "714-527-2240",
            "fax_number": "714-527-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON SON, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "SON",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "DONGSOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-527-2240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A121306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6977240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.