Specialty Medical Center, Inc
NPI 1104933183 · Nephrology Physician · Fullerton, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Specialty Medical Center, Inc is a Nephrology Physician organization in Fullerton, CA (NPI 1104933183).
Provider details
- NPI number
- 1104933183
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Song, Physician/Sole Owner(701) 626-0700
- License
- A49785 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2011-01-14
Frequently asked questions
- What is Specialty Medical Center, Inc's NPI number?
- Specialty Medical Center, Inc's National Provider Identifier (NPI) is 1104933183, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Specialty Medical Center, Inc?
- Specialty Medical Center, Inc is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Specialty Medical Center, Inc located?
- Specialty Medical Center, Inc's practice location on file with NPPES is 1401 S Brookhurst Rd, Fullerton, CA 92833.
- What is Specialty Medical Center, Inc's phone number?
- The practice phone number listed in the NPPES registry for Specialty Medical Center, Inc is (714) 626-0700.
- Does Specialty Medical Center, Inc accept Medicare?
- Specialty Medical Center, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Specialty Medical Center, Inc?
- The authorized official listed on Specialty Medical Center, Inc's NPPES record is Mark Song, Physician/Sole Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Specialty Medical Center, Inc's NPI active?
- Yes — Specialty Medical Center, Inc's NPI (1104933183) is active in the NPPES registry as of the last update on 2011-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.