Individual provider Active NPI

Daniel Son, MD

  • Psychiatry Physician
  • Pomona, CA
National Provider Identifier
1891915146
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
121848 Issued in CA
Practice address
1977 N Garey Ave
Suite 6
Pomona, CA 91767-2774
Phone
(909) 623-6651
Fax
(909) 623-0455
NPI assigned
Apr 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 121848 CA Primary

Addresses

Primary practice location

1977 N Garey Ave
Suite 6
Pomona, CA 91767-2774

Mailing address

10444 Santa Monica Blvd
Suite 401
Los Angeles, CA 90025-5087
Phone (310) 475-6555

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141113002098 CA Practitioner - Psychiatry 1153543780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Loma Linda University School of Medicine, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11927 Elliott Ave
El Monte, CA 91732-3740
Phone (626) 350-5304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Community Treatment Services Inc CurrentSince Jul 19, 2014 Accepting new patients

Locations

11927 Elliott Ave
El Monte, CA 91732
Phone (626) 350-0805

279 E Arrow Hwy
Ste 102
San Dimas, CA 91773
Phone (909) 623-6651

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": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1891915146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10444 SANTA MONICA BLVD",
            "address_2": "SUITE 401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255087",
            "telephone_number": "310-475-6555",
            "fax_number": "310-475-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1977 N GAREY AVE",
            "address_2": "SUITE 6",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672774",
            "telephone_number": "909-623-6651",
            "fax_number": "909-623-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SON",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "121848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.