Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Philip Song, MD

Individual provider Dermatology Physician · NPI 1083859888

Dr. Philip Song, MD is a Dermatology in Antioch, California. Graduated from Johns Hopkins University School of Medicine in 2011, 15 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
15
Trained at
Johns Hopkins University School of Medicine
Licensed in
CA
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3400 Delta Fair Blvd
Antioch, CA 94509-4004
Phone: (925) 817-5600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 401 Old San Francisco Rd, Sunnyvale, CA 94086-6387 — (650) 934-7676

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A161047 (CA)

Record details

NPI number1083859888
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 8, 2008
Last updated in NPPESDecember 17, 2021
Certification dateJuly 6, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolJOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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