Organization Active NPI

San Diego Oncology Medical Clinic

  • Hematology & Oncology Physician
  • San Diego, CA
National Provider Identifier
1871844522
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
SAN DIEGO ONCOLOGY MEDICAL CLINIC
Practice address
7930 Frost St
Ste 405
San Diego, CA 92123-2737
Phone
(858) 571-2811
Fax
(858) 571-2814
NPI assigned
Sep 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Seung-Yil Thomas Song, MDNPI 1578677860
Title
MD
Phone
(858) 571-2811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

7930 Frost St
Ste 405
San Diego, CA 92123-2737

Mailing address

7930 Frost St
Ste 405
San Diego, CA 92123-2737
Phone (858) 571-2811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121026000402 CA Part B Supplier - Clinic/Group Practice 0941450068 Receives reassigned benefits from 2 practitioners
Practice locations: San Diego, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0571469San Diego Oncology Medical Clinic7930 Frost St Ste 405, San Diego, CA 92123AccreditationFeb 17, 2028

National Provider Directory

National Provider Directory

Locations

7930 Frost St
Ste 405
San Diego, CA 92123
Phone (828) 571-2811

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1871844522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7930 FROST ST",
            "address_2": "STE 405",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232737",
            "telephone_number": "858-571-2811",
            "fax_number": "858-571-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7930 FROST ST",
            "address_2": "STE 405",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232737",
            "telephone_number": "858-571-2811",
            "fax_number": "858-571-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO ONCOLOGY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "SEUNG-YIL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "858-571-2811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.