David D Song, M.D./PH.D
Individual provider Active NPI Neurology Physician · Riverside, CA
NPI 1679599765 · NPPES record last updated Mar 21, 2025
Key facts
- NPI
- 1679599765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- A72825 (CA)
- 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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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
- California University of Science and Medicine
Practice addresses (Care Compare)
400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 966-4910
Hospital & facility affiliations
- Arrowhead Regional Medical Center
- Riverside Community Hospital
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 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120113000263 | CA | Practitioner - Neurology | 1052588126 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A72825 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cusm Health | Neurology | Current |
Accepting new patients |
| California University of Science and Medicine | Neurology | Current |
Accepting new patients |
| Regents of the University of California | Past | Accepting new patients | |
| University Surgeons of Orange a Medical Group | Past | Accepting new patients |
Locations
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800
1501 Violet St
Colton, CA 92324
Phone (909) 580-9661
4646 Brockton Ave
Ste 302-2
Riverside, CA 92506
Phone (951) 742-5255
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A72825 | CA | Yes |
Addresses
Primary practice location
4646 Brockton Ave Ste 302-2
Riverside, CA 92506-0174
Mailing address
1501 Violet St
Colton, CA 92324-1603
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A728250 | Medicaid | CA |
Other providers in Riverside, CA
- Solview Care, Inc.
- Ponnumani Somasundaran
- Shelia Y Sombright
- Manida Thi Son
- Albert Song
- Helen Song
- Jianing Song
- Kyungsub Song
- Margaret Song
- Stephanie Song
All providers in Riverside, CA · Neurology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.