MR. GARETH HUANG SONG
NPI 1356805717
Nurse Practitioner - Gerontology in Azusa, CA

Q: What is Gareth Song's NPI number?

The NPI number for Gareth Song is 1356805717. It was assigned to this individual provider in the NPPES registry on January 29, 2019.

Q: What is Gareth Song's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Gareth Song was last updated on January 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 29, 2019

986 SWEETBRIAR LN UNIT A, AZUSA, CA 91702(909) 319-5838 Get Directions Write a Review

NPPES record last updated: January 29, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Gareth Huang Song NPPES

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

MR. GARETH HUANG SONG (NPI 1356805717) is an individual gerontology provider in Azusa, California, licensed in California (9510957) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1356805717

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameMR. GARETH HUANG SONG

Location Address986 SWEETBRIAR LN UNIT AAzusa, CA 91702-1569

Mailing Address986 Sweetbriar Ln Unit AAzusa, CA 91702-1569 · (909) 319-5838

Phone(909) 319-5838

Sole ProprietorYes

Enumeration DateJanuary 29, 2019

✔ NPI 1356805717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in CA · 9510957

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 9510957 (CA)

986 SWEETBRIAR LN UNIT A, Azusa, CA 91702

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Other Identifiers 1

Other95010957CA · Board Of Registered Nursing- Nurse Practitioner

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 Gareth Song's NPI number?

The NPI number for Gareth Song is 1356805717. It was assigned to this individual provider in the NPPES registry on January 29, 2019.

Where is Gareth Song located?

Gareth Song practices at 986 Sweetbriar Ln Unit A, Azusa, CA 91702. The listed phone number is (909) 319-5838.

What is Gareth Song's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Gareth Song was last updated on January 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.