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ALICE KWON-SONG NP
NPI 1023841947
Nurse Practitioner in Irvine, CA

Active since August 26, 2024PECOS EnrolledAccepts Medicare Assignment
15825 LAGUNA CANYON RD STE 104, IRVINE, CA 92618(949) 585-9870 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alice Kwon-song Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICE KWON-SONG NP (NPI 1023841947) is an individual nurse practitioner in Irvine, California, licensed in California (95030728) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1023841947
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameALICE KWON-SONGCredential: NP
Location Address15825 LAGUNA CANYON RD STE 104Irvine, CA 92618-2126
Mailing Address11052 Linda Ln Apt BGarden Grove, CA 92840-5216 · (213) 800-1947
Phone(949) 585-9870
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 26, 2024
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1023841947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95030728
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
15825 LAGUNA CANYON RD STE 104, Irvine, CA 92618
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alice Kwon-song Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244724946
PECOS Enrollment IDI20251210002362
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Alice Kwon-song reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
13 mi
Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1952333460 (714) 279-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92618 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE NGUYEN FNP-C
Nurse Practitioner (Family)
15825 LAGUNA CANYON RD STE 104
IRVINE, CA 92618
Orange County (949) 585-9870
DR. ALBERT BEOMJIN CHANG M.D.
Family Medicine
15825 LAGUNA CANYON RD STE 104
IRVINE, CA 92618
Orange County (949) 585-9870
SHADY CANYON MEDICAL GROUP
Family Medicine
15825 LAGUNA CANYON RD STE 104
IRVINE, CA 92618
Orange County (949) 585-9870

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alice Kwon-song's NPI number?

The NPI number for Alice Kwon-song is 1023841947. It was assigned to this individual provider in the NPPES registry on August 26, 2024.

Where is Alice Kwon-song located?

Alice Kwon-song practices at 15825 Laguna Canyon Rd Ste 104, Irvine, CA 92618. The listed phone number is (949) 585-9870.

What is Alice Kwon-song's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Alice Kwon-song enrolled in Medicare?

Yes. Alice Kwon-song is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Alice Kwon-song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alice Kwon-song reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alice Kwon-song's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alice Kwon-song was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.