MEDICARE: MELODY SONG CNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant	01356453	CA

General Provider Information

NPI Number	:	1780527416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELODY SONG CNA

Provider Business Mailing Address
First Line	:	712 CLIFTON CT
Second Line	:
City	:	SAN RAMON
State	:	CA
Zip	:	94582-5793
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1535 LANDESS AVE STE 103
Second Line	:
City	:	MILPITAS
State	:	CA
Zip	:	95035-8208
Country	:	US
Telephone Number	:	408-256-0763
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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Directions to “ MELODY SONG CNA” Practice Location

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