ANDREW K SONG (NPI# 1851496996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851496996 |
| Entity Type | Individual |
| Full Name | ANDREW K SONG |
| Credential | M.D. |
| Practice Address |
400 N Pepper Ave Colton CA 92324-1801 |
| Practice Telephone | 9095801520 |
| Practice Fax Number | 9095801561 |
| Mailing Telephone | 9095801520 |
| Mailing Fax Number | 9095801561 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2009-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
A60632 | CA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A60632 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
A60632 | CA | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
A60632 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A606320 | 05 | |
| CA | STATE LICENSE | A60632 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069959 | Andrew Bumjin Song | Student in an Organized Health Care Education/Training Program | 55 Fuit St, Boston, MA 02114-2696 | 2020-03-24 |
| 1013193051 | Andrew Yu Song | Acupuncturist | 5851 Duluth St Ste 317, Golden Valley, MN 55422-3957 | 2008-01-19 |
| 1215596804 | Andrew Wonbin Song | Dentist | 2713 Marshall Ct, Madison, WI 53705-2255 | 2019-06-07 |
| 1841686169 | Andrew Song | Student in an Organized Health Care Education/Training Program | 111 S. 11th Street, Bodine Center G301, Philadelphia, PA 19107-4824 | 2015-04-14 |
| 1821401365 | Andrew Song | Pharmacist | 24975 Pico Canyon Rd, Stevenson Ranch, CA 91381-1708 | 2014-06-03 |
| 1922286186 | Andrew Song | Pediatrics | 11175 Campus St, A1117, Loma Linda, CA 92350-1700 | 2008-02-08 |
| Street Address |
400 N PEPPER AVE |
| City | COLTON |
| State | CA |
| Zip Code | 92324-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790781169 | Arrowhead Regional Medical Center | General Acute Care Hospital | 400 N Pepper Ave, Colton, CA 92324-1801 | 2005-06-21 |
| 1841891710 | Hlahla Myet Thwe | Nurse Practitioner | 400 N Pepper Ave, Colton, CA 92324-1819 | 2020-11-05 |
| 1184224164 | Tooyin A Owolabi | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-10-28 |
| 1154921138 | Danny Teng | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-10-28 |
| 1043818370 | Jeanne Emily Curtis | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-10-09 |
| 1891302071 | Mary Suzanne Delahanty | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-09-30 |
| 1851905301 | Magna Dyllis Ajube | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-09-02 |
| 1215540133 | Tiffany Marie Bunting | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-08-29 |
| 1033729157 | Radji Galang | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-08-04 |
| 1235747122 | Emily Nguyen Shimamoto | Physician Assistant | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093948069 | Riverside Radiology Medical Group, Inc. | Radiology | 2225 Tiffany Ln, Colton, CA 92324-9246 | 2009-08-25 |
| 1023265907 | Loma Linda University Radiology Medical Group, Inc | Radiology | 900 E Washington St Ste 150, Colton, CA 92324-4119 | 2008-08-22 |
| 1427370444 | James Min Kim | Radiology | 400 N Pepper Ave, Colton, CA 92324-1801 | 2010-02-17 |
| 1124259015 | Faculty Medical Group of Llusm | Radiology | 900 E Washington St Ste 150, Colton, CA 92324-4119 | 2009-07-27 |
| 1013196575 | Michael D Gentry | Radiology | 400 N Pepper Ave, Colton, CA 92324-1819 | 2007-10-31 |
| 1265447106 | Chandler Shyu | Radiology | 400 N Pepper Ave, Dept of Radiology, Colton, CA 92324-1801 | 2006-07-29 |
| 1215965009 | David B. Underwood | Radiology | 400 N Pepper Ave, Colton, CA 92324-1819 | 2006-06-29 |
| 1477591154 | Mark S Girguis | Radiology | 400 N Pepper Ave, Colton, CA 92324-1819 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902116 | Vesta Telemedicine Solutions, Pllc | Radiology | 833 Americana Way Unit 251, Glendale, CA 91210-1538 | 2020-11-04 |
| 1558960161 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38209 47th St E Ste D, Palmdale, CA 93552-3113 | 2020-10-23 |
| 1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
| 1083213151 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-20 |
| 1750980967 | Centrelake Medical Group Inc | Radiology | 430 W Stetson Ave, Hemet, CA 92543-7328 | 2020-10-19 |
| 1538775994 | Richard J. Moran | Radiology | 230 S Main St Ste 101, Orange, CA 92868-3851 | 2020-09-21 |
| 1417567710 | Family Medical Diagnostics Inc | Radiology | 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 | 2020-08-03 |
| 1396365011 | Prodiagnose Inc | Radiology | 7345 Topanga Canyon Blvd # 210, Canoga Park, CA 91303-1244 | 2020-04-22 |
| 1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.