MR. ERIC SONG (PA-C) – Physician Assistant, NPI 1083918403

MR. ERIC SONG (PA-C) is a healthcare provider. based in Colton, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA21386 (CA). The NPI Number for MR. ERIC SONG (PA-C) is 1083918403

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MR. ERIC SONG (PA-C)
NPI
1083918403
Phone
(909) 887-2991
Address
1850 E WASHINGTON ST
Enumeration Date
28 December 2010
Last Update Date
18 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9515888901
Graduation Year
2010 (16 years ago)
PAC ID
8729265988
Group Practice PAC ID
8628128196
Professional Enrollment ID
I20110615000819
Address ID
CA925035204RI3480XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for MR. ERIC SONG (PA-C)

  • 1850 E WASHINGTON ST

    COLTON, CA 923244621

    Phone: (909) 887-2991

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 109 Open Payments records for all available years, with a total value of $2,021.

Total Amount is formed as General ($2,021) + Research ($0) + Ownership ($0) = $2,021.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: ABBVIE INC. ($805).

Total Amount

$2,021

General + Research + Ownership

Payments

109

Total payment records

General Amount

$2,021

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-06-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110615000819IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes143130$0
99213Established patient office or other outpatient visit, 20-29 minutes121105$0
J1100Injection, dexamethasone sodium phosphate, 1 mg10111$0
J1885Injection, ketorolac tromethamine, per 15 mg8124$0
J0696Injection, ceftriaxone sodium, per 250 mg6812$0
View full utilization report →

Insurance plans in this area (ZIP 92324)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628128196View full group profile
NameSpecialtyState
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Emergency MedicineCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
-CA

Reviews

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Frequently asked questions

How do payers reference MR. ERIC SONG (PA-C)?
For MR. ERIC SONG (PA-C), use NPI 1083918403 as the unique 10-digit identifier.
Is MR. ERIC SONG (PA-C) shown as active in public data?
Registry records indicate MR. ERIC SONG (PA-C) maintains an active NPI.
What kind of doctor is MR. ERIC SONG (PA-C)?
MR. ERIC SONG (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MR. ERIC SONG (PA-C)?
Directory geography for MR. ERIC SONG (PA-C) centers on Colton, California.
Does MR. ERIC SONG (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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