Active NPI
David D Song, M.D./PH.D
- Neurology Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A72825
- Practice address
- 4646 Brockton Ave Ste 302-2
Riverside, CA 92506-0174 - Phone
- (951) 742-5255
- Fax
- (951) 717-8609
- NPI assigned
- Jul 14, 2006
- Last updated
- Mar 21, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A72825 | CA | Primary |
Addresses
Primary practice location
4646 Brockton Ave Ste 302-2
Riverside, CA 92506-0174
Mailing address
1501 Violet St
Colton, CA 92324-1603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Tulane University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 966-4910
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 82.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.06
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72825 | CA | MD | Pharmacist |
| A72825 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California University of Science and Medicine | Neurology | Current | Accepting new patients |
| Cusm Health | Neurology | Current | Accepting new patients |
| University Surgeons of Orange a Medical Group | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients |
Locations
1501 Violet St
Colton, CA 92324
Phone (909) 580-9661
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400
4646 Brockton Ave
Ste 302-2
Riverside, CA 92506
Phone (951) 742-5255
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CUSM Health
- Neurology Physician
- Colton, CA
- NPI 1255849360
-
- Neurology Physician
- Colton, CA
- NPI 1891335477
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
dba Regents of the University of California
- Surgery Physician
- Orange, CA
- NPI 1407806904
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Arrowhead Regional Medical Center
- General Acute Care Hospital
- Colton, CA
- NPI 1720158009
-
dba Riverside Community Hospital
- General Acute Care Hospital
- Riverside, CA
- NPI 1114971660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1679599765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 VIOLET ST",
"city": "COLTON",
"state": "CA",
"postal_code": "923241603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4646 BROCKTON AVE STE 302-2",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925060174",
"telephone_number": "951-742-5255",
"fax_number": "951-717-8609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "DAVID",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D./PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A72825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.