Stephanie Song, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

A187985 Issued in CA

Practice address

21832 Cactus Ave
Riverside, CA 92518-3010

Phone

(951) 924-6500

NPI assigned

Jun 3, 2018

Last updated

Sep 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Southland Arthrites and Osteoporosis Medical Center Inc

  • Rheumatology Physician
  • Menifee, CA
  • NPI 1033296231
  Medicare reassignment NPD
• C.V.Mehta MD a Medical Corp.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Hemet, CA
  • NPI 1386761617
  NPD (past)

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

{
    "created_epoch": "1527984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1710479092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21832 CACTUS AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925183010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21832 CACTUS AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925183010",
            "telephone_number": "951-924-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "STEPHANIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-03",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT215223",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A187985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David D Song, M.D./PH.D
• Helen Song, D.D.S.
• Jianing Song, DMD
• Kyungsub Song, L.AC.
• Margaret Song, MD
• Susrap Song, MD
• Sonora Medical Group
• Sonsy Behavioral a Medical Corporation (Sonsy Behavioral)
• Joshua Sony
• Sylvia Soo, M.D.

• Rheumatology Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.