Individual provider Active NPI

Alice Song, M.D.

  • Ophthalmology Physician
  • Long Beach, CA
National Provider Identifier
1992720023
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A87752 Issued in CA
Practice address
2840 Long Beach Blvd
Suite #330
Long Beach, CA 90806-1516
Phone
(562) 427-0700
Fax
(562) 427-2525
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A87752 CA Primary

Addresses

Primary practice location

2840 Long Beach Blvd
Suite #330
Long Beach, CA 90806-1516

Mailing address

PO Box 3187
Cerritos, CA 90703-3187
Phone (312) 282-2982

Other identifiers 1

IdentifierTypeStateIssuer
00A877520MedicaidCA

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
I20050614001015 CA Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 8224001037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
Duke University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10861 Cherry St
Suite 208
Los Alamitos, CA 90720-5407
Phone (562) 427-0700

Hospital & facility affiliations

  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485

Merit-based Incentive Payment System (MIPS)

Final score
99.17 of 100Reported as individual
Quality
88.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery97
Melanoma (skin cancer) excision18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87752CAMDPharmacist
A87752CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alice Song M.D., a Med Corp Ophthalmology Current Accepting new patients
Center for Oculofacial and Orbital Surgery Ophthalmology CurrentSince Mar 1, 2008 Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Long Island Eye Surgical Care, PC Ophthalmology Past Accepting new patients
Ophthalmology Corporation Ophthalmology Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients

Locations

2840 Long Beach Blvd
Ste 330
Long Beach, CA 90806
Phone (562) 424-8422

10861 Cherry St
Ste 208
Los Alamitos, CA 90720
Phone (562) 427-0700

1111 S Fair Oaks Ave
Pasadena, CA 91105
Phone (562) 427-0700

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1992720023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3187",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907033187",
            "telephone_number": "312-282-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 LONG BEACH BLVD",
            "address_2": "SUITE #330",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061516",
            "telephone_number": "562-427-0700",
            "fax_number": "562-427-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "ALICE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A87752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A877520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.