Organization Active NPI

Song Chiropractic, PC

  • Chiropractor
  • Temecula, CA
National Provider Identifier
1669166757
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SONG CHIROPRACTIC, PC
Practice address
29377 Rancho California Rd Ste 106
Temecula, CA 92591-5206
Phone
(951) 676-8686
NPI assigned
Jun 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Isaac Song, DCNPI 1346762747
Title
Chiropractor
Phone
(909) 809-0128

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

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

Mailing address

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

Other names 1

  • Inland Valley Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240320004090 CA Part B Supplier - Clinic/Group Practice 5799122180 Receives reassigned benefits from 2 practitioners
Practice locations: Temecula, CA

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1669166757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29377 RANCHO CALIFORNIA RD STE 106",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915206",
            "telephone_number": "951-676-8686"
        },
        {
            "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": {
        "organization_name": "SONG CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "909-809-0128",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inland Valley Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 22, 2023; 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.