DR. PHILIP SONG M.D.
NPI 1083859888
Dermatology in Antioch, CA

Active since December 08, 2008PECOS EnrolledAccepts Medicare Assignment
3400 DELTA FAIR BLVD, ANTIOCH, CA 94509(925) 817-5600 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2021, Jul 6, 2020, Jul 12, 2019 (3 updates tracked since 2019).

About Dr. Philip Song M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILIP SONG M.D. (NPI 1083859888) is an individual dermatology provider in Antioch, California, licensed in California (A161047) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sunnyvale, and is a graduate of Johns Hopkins University School Of Medicine (2011).

NPPES Registry Identity

NPI1083859888
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. PHILIP SONGCredential: M.D.
Location Address3400 DELTA FAIR BLVDAntioch, CA 94509-4004
Mailing Address3400 Delta Fair BlvdAntioch, CA 94509-4004
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2011
Enumeration DateDecember 8, 2008
Last NPPES UpdateDecember 17, 20213 updates tracked since enumeration
NPPES CertifiedJuly 6, 2020
NPI 1083859888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · A161047
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3400 DELTA FAIR BLVD, Antioch, CA 94509

Secondary Practice Location 1

Location 1401 Old San Francisco RdSunnyvale, CA 94086-6387 · Phone (650) 934-7676

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Philip Song M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971761032
PECOS Enrollment IDI20190716002909
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94509 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Pediatrics
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Optometrist (Corneal and Contact Management)
3400 DELTA FAIR BLVD, THE PERMANENTE MEDICAL GROUP, INC.
ANTIOCH, CA 94509
Emergency Medicine
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Counselor (Mental Health)
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Internal Medicine
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Pediatrics
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Pharmacist
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Song's NPI number?

The NPI number for Philip Song is 1083859888. It was assigned to this individual provider in the NPPES registry on December 8, 2008.

Where is Philip Song located?

Philip Song practices at 3400 Delta Fair Blvd, Antioch, CA 94509. The listed phone number is (925) 817-5600.

What is Philip Song's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Philip Song enrolled in Medicare?

Yes. Philip Song is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Philip Song was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.