James J Song MD Professional Corp

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

AO68524 Issued in CA

Legal business name

JAMES J SONG MD PROFESSIONAL CORP

Practice address

2299 Mowry Ave
Suite 3a
Fremont, CA 94538

Phone

(510) 713-9898

Fax

(510) 280-7279

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Linda Duan

Title

Office Manager

Phone

(510) 713-9898

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James J. Song, M.D.

  • Ophthalmology Physician
  • Fremont, CA
  • NPI 1245341700
  Medicare reassignment NPD
• Shao Li, O.D.

  • Optometrist
  • Fremont, CA
  • NPI 1972708444
  NPD (past)
• Jennifer Ming-Ying Lin, O.D.

  • Optometrist
  • Palo Alto, CA
  • NPI 1831436484
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1700997277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 MOWRY AVE",
            "address_2": "SUITE 3A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-713-9898",
            "fax_number": "510-280-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 MOWRY AVE",
            "address_2": "SUITE 3A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-713-9898",
            "fax_number": "510-280-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES J SONG MD PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "DUAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "510-713-9898"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "AO68524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A685240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonia Jalamdeh
• Mediha Siddiqui Jaleel, MD
• Sumaya Tareg Jaludi, RPH
• Leila Anne Jamasbi
• Gemma Jean Paradero Jamena, MD
• James N Cohn MD Inc
• James Petros MD Inc
• Jamie Wong OD Inc
• Jan Eric Henstorf, M.D.Apc
• Jina L. Janavs, MD

• Ophthalmology Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.