1. Home
  2. Directory
  3. California
  4. Chino
  5. Urology
  6. NPI Profile

DAVID G SONG MD INC
NPI 1457997645
Urology in Chino, CA

Active since November 21, 2019CLIA 05D2196018 · Waiver
5365 WALNUT AVENUE STE A, CHINO, CA 91710(909) 902-0009 Get Directions Write a Review

NPPES record last updated: July 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 2, 2020, Mar 11, 2020, Nov 21, 2019 (3 updates tracked since 2019).

About David G Song Md Inc NPPES

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

DAVID G SONG MD INC (NPI 1457997645) is a healthcare organization registered as an urology in Chino, California and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through October 13, 2026 and lists David G Song, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457997645
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameDAVID G SONG MD INC
Location Address5365 WALNUT AVENUE STE AChino, CA 91710-9171
Mailing Address2100 Montezuma AveAlhambra, CA 91803-3803 · (626) 234-9178
Phone(909) 902-0009
Organization SubpartYes
Authorized OfficialDavid G SongCeo · (626) 234-9178
Enumeration DateNovember 21, 2019
Last NPPES UpdateJuly 2, 20203 updates tracked since enumeration
NPPES CertifiedJuly 2, 2020
✔ NPI 1457997645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

5365 WALNUT AVENUE STE A, Chino, CA 91710
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2196018

David G Song MD Inc · Chino, CA
Active · expires Oct 13, 2026
CLIA Number05D2196018
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2024
Certificate Expiration DateOctober 13, 2026
Laboratory DirectorDavid G. Song
Laboratory Phone(909) 902-0009
Laboratory LocationDavid G Song MD Inc5365 Walnut Ave Ste A, Chino, CA 91710
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 David G Song MD Inc's NPI number?

The NPI number for David G Song MD Inc is 1457997645. It was assigned to this organization in the NPPES registry on November 21, 2019.

Where is David G Song MD Inc located?

David G Song MD Inc is located at 5365 Walnut Avenue Ste A, Chino, CA 91710. The listed phone number is (909) 902-0009.

What is David G Song MD Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does David G Song MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2196018) is associated with this NPI, valid through October 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for David G Song MD Inc was last updated on July 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.