DR. ANDREW SONG (NPI# 1922286186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922286186 |
| Entity Type | Individual |
| Full Name | DR. ANDREW SONG |
| Credential | D.O. |
| Practice Address |
11175 Campus St A1117 Loma Linda CA 92350-1700 |
| Practice Telephone | 3232685000 |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2017-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 20A10661 | CA | Allopathic & Osteopathic Physicians |
| 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 |
| 1851496996 | Andrew K Song | Radiology | 400 N Pepper Ave, Colton, CA 92324-1801 | 2006-09-13 |
| Street Address |
11175 CAMPUS ST A1117 |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92350-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821181553 | Huitzilin Mauricio Olmecah | Neurological Surgery | 11175 Campus St, Department of Neurology, Coleman Pavilion - Rm. 11108, Loma Linda, CA 92350-1700 | 2006-10-02 |
| 1518490804 | Erika Kristine Reel | Student in an Organized Health Care Education/Training Program | 11175 Campus St, Cp-11108, Loma Linda, CA 92350-1700 | 2017-04-04 |
| 1295268530 | Kenna Brooke Schnarr | General Practice | 11175 Campus St, Coleman Pavilion, Room #11105, Loma Linda, CA 92350-1700 | 2017-04-04 |
| 1578004156 | Michelle Tanzil | Obstetrics & Gynecology | 11175 Campus St, Loma Linda, CA 92350-1700 | 2017-03-15 |
| 1639527286 | Leah Marie Humann | Student in an Organized Health Care Education/Training Program | 11175 Campus St, #21108, Loma Linda, CA 92350-1700 | 2016-05-24 |
| 1205281540 | Linninea Ebell | Nurse Practitioner | 11175 Campus St, Suite 11120, Loma Linda, CA 92350-1700 | 2016-04-23 |
| 1891182093 | Stewart Haven Barlow | Obstetrics & Gynecology | 11175 Campus St, Loma Linda, CA 92350-1700 | 2015-04-25 |
| 1295149771 | Shrinkhala Srivastava | Pediatrics | 11175 Campus St, Loma Linda, CA 92354 | 2014-06-12 |
| 1700298437 | Loma Linda University Medical Center | General Acute Care Hospital | 11175 Campus St, Loma Linda, CA 92350-1700 | 2014-05-29 |
| 1306263587 | Mallory Cohen | Pediatrics | 11175 Campus St, Cp- A1120, Loma Linda, CA 92350-1700 | 2014-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164059010 | Stephanie Abandy | Student in an Organized Health Care Education/Training Program | 11262 Campus Street - West Hall, West Hall, Loma Linda, CA 92350 | 2020-03-23 |
| 1275911844 | Rosemarie Florian | Internal Medicine | 11234 Anderson St Rm 1503, Loma Linda, CA 92350 | 2015-05-14 |
| 1235525403 | Diana Derosa Villarreal | Pediatrics | 11175 Campus St. Cp-a1111, Department of Pediatrics, Loma Linda, CA 92350 | 2015-04-14 |
| 1609212919 | Daniel Eldridge Smith | Surgery | 11175 Campus St # 21111, Loma Linda, CA 92350 | 2013-05-14 |
| 1992057269 | Hildemar Feliciano Dos Santos | Nutritionist | 25040 Stewart Street, Loma Linda, CA 92350 | 2012-10-10 |
| 1184910762 | Kristyn Anne Mannoia | Surgery | 11234 Anderson Ave Ste 2100, Loma Linda, CA 92350 | 2011-06-22 |
| 1760774947 | Loma Linda University | Special Hospital | 1234 Anderson Street, Gme Office Csp 21005, Loma Linda, CA 92350 | 2011-05-06 |
| 1144547977 | Andrei Radulescu | Surgery | 11175 Campus St Ste 21111, Loma Linda, CA 92350 | 2010-05-04 |
| 1619102845 | Wing Sze Esther Yung | Surgery | 11175 Campus Street #21111, Loma Linda Universiy Healthcare System, Loma Linda, CA 92350 | 2009-05-18 |
| 1679720734 | Ronald Lee Young | Dentist | 11092 Anderson Streeet, Llu School of Dentistry, Loma Linda, CA 92350 | 2008-08-20 |
| Find all providers in zip 92350 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548790926 | Michael Andaya | Pediatrics | 11175 Campus St Coleman Pavilion A1111, Loma Linda, CA 92350-0001 | 2017-06-18 |
| 1144754771 | Shirin Ruth Degiorgio | Pediatrics | 11234 Anderson St # A1111, Loma Linda, CA 92354-2804 | 2017-04-20 |
| 1730612821 | Vallent Lee | Pediatrics | 11175 Campus Street Coleman Pavilion A1121, Loma Linda, CA 92350-2804 | 2017-04-06 |
| 1497288724 | Kelly Alyssa Jeu | Pediatrics | 11234 Anderson St # General, Loma Linda, CA 92354-2804 | 2017-04-04 |
| 1124415468 | Christopher Jay Siplon | Pediatrics | 11234 Anderson Street, Gme Office, Westerly Suite C, Loma Linda, CA 92354-2804 | 2015-04-24 |
| 1235525403 | Diana Derosa Villarreal | Pediatrics | 11175 Campus St. Cp-a1111, Department of Pediatrics, Loma Linda, CA 92350 | 2015-04-14 |
| 1487061834 | Abdullah Khan | Pediatrics | 11234 Anderson St Rm A890a, Loma Linda, CA 92354-2804 | 2014-07-17 |
| 1265867683 | Ali Kemal Ozcan | Pediatrics | Loma Linda Children's Hospital Pediatric Emergency, 11234 Anderson St, Loma Linda, CA 92354 | 2013-09-04 |
| 1871857227 | Shelly Chatterjee Choudhury | Pediatrics | 25845 Barton Rd Ste F, Loma Linda, CA 92354 | 2012-06-30 |
| 1417142209 | Meredith I Clayton | Pediatrics | Llu Preventive Medicine Residency Program, Nichol Hall #1516, Loma Linda, CA 92350-0001 | 2007-09-13 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92350 |
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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.