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

DAVID SONG
NPI 1699115972
Urology in Chino, CA

Active since July 01, 2013PECOS EnrolledAccepts Medicare Assignment
5365 WALNUT AVE STE A, CHINO, CA 91710(909) 902-0009(909) 206-0628 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 15, 2026, Apr 10, 2020 (2 updates tracked since 2020).

About David Song NPPES

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

DAVID SONG (NPI 1699115972) is an individual urology provider in Chino, California, licensed in California (A153669) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (2013).

NPPES Registry Identity

NPI1699115972
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDAVID SONG
Location Address5365 WALNUT AVE STE AChino, CA 91710-2622
Mailing Address5365 Walnut Avenue Ste AChino, CA 91710-2622 · (626) 234-9178
Fax(909) 206-0628
Sole ProprietorYes
Medical School CMSSaint Louis University School Of MedicineGraduated 2013
Enumeration DateJuly 1, 2013
Last NPPES UpdateOctober 15, 20262 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1699115972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CA · A153669
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 AVE STE A, Chino, CA 91710

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Song 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 ID1951739614
PECOS Enrollment IDI20200312001243
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.

Medicare Billing Reassignments

2

Medicare enrollment records show David Song reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vascular & Interventional Radiology
12611 9TH ST
Chino, CA 91710
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
Urology
12611 9TH ST STE B
Chino, CA 91710
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,516 services541 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
905 services494 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
810 services46 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
767 services468 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
714 services45 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
662 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91710 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
3 suppliers13 claims990 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers14 claims1,590 services$1.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Family Medicine
5365 WALNUT AVE STE A
CHINO, CA 91710
Nurse Practitioner (Family)
5365 WALNUT AVE STE A
CHINO, CA 91710
Obstetrics & Gynecology (Obstetrics)
5365 WALNUT AVE STE A
CHINO, CA 91710

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 Song's NPI number?

The NPI number for David Song is 1699115972. It was assigned to this individual provider in the NPPES registry on July 1, 2013.

Where is David Song located?

David Song practices at 5365 Walnut Ave Ste A, Chino, CA 91710. The listed phone number is (909) 902-0009.

What is David Song's specialty?

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

Is David Song enrolled in Medicare?

Yes. David 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.

Which organizations bill Medicare for David Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Song reassigns Medicare benefits to 2 organizations: Prime Access Medical Group (Chino, CA) and David G Song MD Inc (Chino, CA). Each 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 David Song's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Song was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.