Active NPI
Don Son, MD, Inc.
- Primary Care Clinic/Center
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- A121306
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Don Dongsoo Son, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6977240 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2048609 | Don Son, MD, Inc. | Certificate of waiver | Oct 18, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1558564898
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.