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

Dr. Susrap Song, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1225265754

Dr. Susrap Song, MD is an Obstetrics/Gynecology in Riverside, California. Graduated from Michigan State University College of Human Medicine in 2005, 21 years ago. Practices with Riverside Medical Clinic Inc, a 174-clinician group and accepts Medicare assignment. Licensed in California and Michigan.

Years since qualifying
21
Trained at
Michigan State University College of Human Medicine
Licensed in
CA, MI
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6405 Day St
Riverside, CA 92507-0901
Phone: (951) 697-5505
Fax: (951) 697-5504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence A131345 (CA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 4301094566 (MI)

Record details

NPI number1225265754
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2009
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2005 (21 years in practice)
Group practice Riverside Medical Clinic Inc — 174 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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