MICHAEL SONG (NPI# 1790171817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790171817 |
| Entity Type | Individual |
| Full Name | MICHAEL SONG |
| Credential | D.O. |
| Practice Address |
1411 E 31st St Oakland CA 94602-1018 |
| Mailing Address |
75 Mckissick St Pleasant Hill CA 94523-3606 |
| Practice Telephone | 5104374800 |
| Mailing Telephone | 9253305438 |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2019-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 20A15657 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 75 Mckissick St, Pleasant Hill, CA 945233606 | 9253305438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003377383 | Michael Song | Student in an Organized Health Care Education/Training Program | 317 George St, New Brunswick, NJ 08901-2008 | 2019-03-28 |
| 1699262246 | Michael Song | Student in an Organized Health Care Education/Training Program | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2018-04-19 |
| 1871094441 | Michael Song | Behavioral Analyst | 39420 Liberty St Ste 252a, Fremont, CA 94538-2297 | 2018-02-27 |
| 1437537859 | Michael Song | Internal Medicine | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2015-05-18 |
| 1760756597 | Michael J Song | Pain Medicine | 450 N Wiget Ln, Walnut Creek, CA 94598-2408 | 2012-02-24 |
| 1609024082 | Michael Song | Anesthesiology | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2008-08-28 |
| 1235318569 | Michael Soo-hyung Song | Dentist | 3975 Fair Ridge Dr, Suite #301 North, Fairfax, VA 22033-2911 | 2007-11-02 |
| 1104925080 | Michael Song | Anesthesiology | 500 N Franklin Tpke, Suite 206, Ramsey, NJ 07446-1177 | 2006-09-21 |
| 1124067491 | Michael H Song | Neurological Surgery | 343 Elm St, Suite 202, Reno, NV 89503-4522 | 2006-06-05 |
| Street Address |
1411 E 31ST ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94602-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396733135 | Andrea Elizabeth Williams | Family Medicine | 1411 E 31st St, Oakland, CA 94602-1018 | 2005-10-06 |
| 1972101186 | Jennifer Pham | Pharmacist | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-10-12 |
| 1922606276 | Monica Mofidi | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-10-09 |
| 1639785223 | Mercedeh Nicole Vaez | Dentist | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-09-18 |
| 1962015701 | Egbe Iyabo Omoregie | Nurse Practitioner | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-30 |
| 1275146672 | Jessica Labioda Sohn | Social Worker | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-25 |
| 1760093462 | Himalina Rajanakhan | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1092 | 2020-08-14 |
| 1316558018 | Lisa De La Cruz | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-14 |
| 1396356762 | Jermaine Robertson | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-11 |
| 1700496437 | Kathleen Puanani Hennessy | Pharmacist | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151845 | Nicholas Collins Pac Lac Inc | Acupuncturist | 3433 Brunell Dr, Oakland, CA 94602 | 2020-07-21 |
| 1225667850 | Elaine Dellinger | Student in an Organized Health Care Education/Training Program | Highland Hospital 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2020-04-06 |
| 1356804033 | Jayakala Lakireddy | Student in an Organized Health Care Education/Training Program | Dept of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-10 |
| 1750844585 | Kirea J Mazzolini | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-09 |
| 1912478587 | Joie Mazor | Chiropractor | 3201 Macarthur Blvd., Oakland, CA 94602 | 2018-12-07 |
| 1114424884 | Jesse Santos | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2018-04-10 |
| 1679078646 | Tia Vang | Student in an Organized Health Care Education/Training Program | 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 | 2018-03-29 |
| 1942704101 | Michael Mian | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Qic 22123, Oakland, CA 94602 | 2018-03-22 |
| 1063916575 | Charisma Kaushik | Student in an Organized Health Care Education/Training Program | 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2018-03-20 |
| 1841711363 | David Christopher Carroll | Pharmacist | 1411 E. 31st Street, Oakland, CA 94602 | 2017-07-06 |
| Find all providers in zip 94602 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114491743 | Kimberly Hicks M D Inc | Internal Medicine | 3317 Elm St Ste 102, Oakland, CA 94609-3053 | 2019-01-16 |
| 1457718736 | John Flaningam | Internal Medicine | 11 Hillcrest Ct, Oakland, CA 94619-2411 | 2016-01-18 |
| 1861822819 | Harold Orr Jr. | Internal Medicine | 11100 Kerrigan Dr, Oakland, CA 94605-5414 | 2013-11-12 |
| 1245672815 | Abdul Wasay Raif Jawid | Internal Medicine | 1401 E 31st St, Oakland, CA 94602 | 2013-07-24 |
| 1255605192 | James Pickett Seward | Internal Medicine | 5493 Taft Ave, Oakland, CA 94618-1501 | 2012-02-23 |
| 1265719033 | My Health Medical Group Inc | Internal Medicine | 1221 Broadway Fl 7, Oakland, CA 94612-1837 | 2011-11-08 |
| 1720376395 | Lisa Jane Chandler | Internal Medicine | 5433 Thomas Ave, Oakland, CA 94618-1749 | 2011-07-18 |
| 1679872444 | Mitchell Liverant | Internal Medicine | 3600 Broadway Fl 2, Oakland, CA 94611-5730 | 2011-03-19 |
| 1770880163 | Astha Kanani | Internal Medicine | 3451 E 12ths St, Oakland, CA 94601-3463 | 2011-02-21 |
| 1861705725 | Jose A Lopez M.d P.a | Internal Medicine | 30 Remington Rd, Suite 2, Oakland, FL 34787-9797 | 2010-07-21 |
| Find all providers in OAKLAND | ||||
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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.