Individual provider Active NPI

Xin Song, L.AC.

  • Acupuncturist
  • Claremont, CA
National Provider Identifier
1720457450
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC18915 Issued in CA
Practice address
456 W San Jose Ave Ste a
Claremont, CA 91711-6009
Phone
(909) 901-9199
NPI assigned
Sep 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X LAC-793 NC
Acupuncturist 171100000X AC18915 CA Primary

Addresses

Primary practice location

456 W San Jose Ave Ste a
Claremont, CA 91711-6009

Mailing address

456 W San Jose Ave Ste a
Claremont, CA 91711-6009
Phone (909) 901-9199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC18915CAMDAcupuncturist
LAC-793NCMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Song Acupuncture and Integrative Care Professional Corporation Acupuncturist CurrentSince Oct 23, 2022 Accepting new patients

Locations

456 W San Jose Ave
Ste A
Claremont, CA 91711
Phone (909) 901-9199

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1720457450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 W SAN JOSE AVE STE A",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917116009",
            "telephone_number": "909-901-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 W SAN JOSE AVE STE A",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917116009",
            "telephone_number": "909-901-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "XIN",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "LAC-793",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC18915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.