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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since November 21, 2019
12611 9TH ST STE B, CHINO, CA 91710(909) 902-0009(909) 206-0628 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 31, 2026, Jul 2, 2020, Mar 11, 2020 and 1 more (4 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), doing business as Access Urology, is a healthcare organization registered as an urology in Chino, California and active in the NPI registry since November 2019. The organization maintains 6 additional practice locations 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 Address12611 9TH ST STE BChino, CA 91710-3528
Mailing Address12611 9th St Ste CChino, CA 91710-3528 · (626) 234-9178
Phone(909) 902-0009
Fax(909) 206-0628
Organization SubpartYes
Authorized OfficialDavid G SongCeo · (626) 234-9178
Enumeration DateNovember 21, 2019
Last NPPES UpdateAugust 31, 20264 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ 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.
12611 9TH ST STE B, Chino, CA 91710
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Other Names 1

Doing Business AsAccess Urology

Secondary Practice Locations 6

Location 1320 S Garfield Ave Ste 106Alhambra, CA 91801-3887 · Phone (626) 628-2298 · Fax (626) 628-2895
Location 2622 W Duarte Rd Ste 108Arcadia, CA 91007-9269 · Phone (626) 608-0648 · Fax (626) 323-8113
Location 314642 Newport Ave Ste 101Tustin, CA 92780-6058 · Phone (657) 255-8860 · Fax (657) 255-8850
Location 49041 Magnolia Ave Ste 7Riverside, CA 92503-3941 · Phone (951) 577-0085 · Fax (951) 577-0092
Location 5639 E Foothill Blvd Ste CSan Dimas, CA 91773-1253 · Phone (909) 480-3488 · Fax (909) 284-9548
Location 618575 Gale Ave Ste 108City Of Industry, CA 91748-1382 · Phone (626) 788-9080 · Fax (626) 514-2823

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David G Song Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20200312001149Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to David G Song MD Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Felix Chen, MD
Urology
NPI 1295297356
12611 9TH ST STE B
Chino, CA 91710
(909) 902-0009
✔ PECOS✔ Accepts MedicareSame address
Gilan Magdangal, NP
Nurse Practitioner
NPI 1538830765
5365 WALNUT AVE STE A
Chino, CA 91710
(909) 902-0009
✔ PECOS0.1 mi
David Song
Urology
NPI 1699115972
5365 WALNUT AVE STE A
Chino, CA 91710
(909) 902-0009
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Expired · 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: 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. The provider is doing business as Access Urology.

Where is David G Song MD Inc located?

David G Song MD Inc is located at 12611 9th St Ste B, 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.

Is David G Song MD Inc enrolled in Medicare?

Yes. David G Song MD Inc is registered in the Medicare PECOS enrollment system.

When is David G Song MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through David G Song MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to David G Song MD Inc, in Nurse Practitioner and Urology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for David G Song MD Inc was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.