SAN DIEGO ONCOLOGY MEDICAL CLINIC
NPI 1871844522
Internal Medicine - Hematology & Oncology in San Diego, CA

Active since September 20, 2012CLIA 05D0571469 · Accreditation
7930 FROST ST, STE 405, SAN DIEGO, CA 92123(858) 571-2811(858) 571-2814 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About San Diego Oncology Medical Clinic NPPES

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

SAN DIEGO ONCOLOGY MEDICAL CLINIC (NPI 1871844522) is a healthcare organization registered as a hematology & oncology in San Diego, California and active in the NPI registry since September 2012. The organization holds an CLIA Accreditation certificate valid through February 17, 2028 and lists Seung-yil Thomas Song, Md, as its authorized official.

NPPES Registry Identity

NPI1871844522
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameSAN DIEGO ONCOLOGY MEDICAL CLINIC
Location Address7930 FROST ST, STE 405San Diego, CA 92123-2737
Mailing Address7930 Frost St, Ste 405San Diego, CA 92123-2737 · (858) 571-2811 · Fax (858) 571-2814
Fax(858) 571-2814
Organization SubpartNo
Authorized OfficialSeung-yil Thomas SongMd · (858) 571-2811
Enumeration DateSeptember 20, 2012
Last NPPES UpdateAugust 5, 2025
NPPES CertifiedAugust 5, 2025
✔ NPI 1871844522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
7930 FROST ST, San Diego, CA 92123

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)

San Diego Oncology Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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 IDO20121026000402Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to San Diego Oncology Medical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Medical Oncology
NPI 1578677860
7930 FROST ST STE 405
San Diego, CA 92123
(858) 571-2811
✔ PECOS✔ Accepts MedicareSame address
Medical Oncology
NPI 1023246212
7930 FROST ST STE 405
San Diego, CA 92123
(858) 571-2811
✔ PECOS✔ Accepts MedicareSame address

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 Accreditation 05D0571469

San Diego Oncology Medical Clinic · San Diego, CA
Active · expires Feb 17, 2028
CLIA Number05D0571469
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2026
Certificate Expiration DateFebruary 17, 2028
Laboratory DirectorSy T. Song
Laboratory Phone(858) 571-2811
Laboratory LocationSan Diego Oncology Medical Clinic7930 Frost St Ste 405, San Diego, CA 92123
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 San Diego Oncology Medical Clinic's NPI number?

The NPI number for San Diego Oncology Medical Clinic is 1871844522. It was assigned to this organization in the NPPES registry on September 20, 2012.

Where is San Diego Oncology Medical Clinic located?

San Diego Oncology Medical Clinic is located at 7930 Frost St Ste 405, San Diego, CA 92123. The listed phone number is (858) 571-2811.

What is San Diego Oncology Medical Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is San Diego Oncology Medical Clinic enrolled in Medicare?

Yes. San Diego Oncology Medical Clinic is registered in the Medicare PECOS enrollment system.

When is San Diego Oncology Medical Clinic'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 February 28, 2027. 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 San Diego Oncology Medical Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Medical Oncology, reassign their Medicare billing to San Diego Oncology Medical Clinic. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does San Diego Oncology Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0571469) is associated with this NPI, valid through February 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Diego Oncology Medical Clinic was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.