Tae J Song DPM Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4771 Issued in CA

Legal business name

TAE J SONG DPM INC

Practice address

1310 Continental St
Redding, CA 96001-0839

Phone

(530) 244-0674

Fax

(530) 244-1033

NPI assigned

Oct 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Tae J Song, DPM

Title

President

Phone

(530) 244-0674

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Susan M Yeager, DPM

  • Foot & Ankle Surgery Podiatrist
  • Redding, CA
  • NPI 1073530671
  NPD
• Byron Carrasco, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Honolulu, HI
  • NPI 1356641476
  NPD (past)

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1942519392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 CONTINENTAL ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010839",
            "telephone_number": "530-244-0674",
            "fax_number": "530-244-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 CONTINENTAL ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010839",
            "telephone_number": "530-244-0674",
            "fax_number": "530-244-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAE J SONG DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "TAE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-244-0674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Swindle
• David Robert Sydow, MD
• Jest S Syvirathphan
• Kao C Syvirathphan
• Joy Llantino Tablizo
• Kyung-Ran Tae, OT/L
• James Ross Taggart, M.D
• Madisyn Riley Tagliaferri
• Parviz Tahmooressi, MD
• Hiromi Takano, D.O.

• Foot & Ankle Surgery Podiatrist in Redding, CA
• Providers in Redding, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.