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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BOWEN SONG MD
NPI 1154070258
Psychiatry & Neurology - Neurology in Los Angeles, CA

Active since March 23, 2022PECOS Enrolled
127 S SAN VICENTE BLVD # A6600, LOS ANGELES, CA 90048(310) 423-6472 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2026, Aug 28, 2023, Jun 19, 2023 (3 updates tracked since 2023).

About Dr. Bowen Song Md NPPES

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

DR. BOWEN SONG MD (NPI 1154070258) is an individual neurology provider in Los Angeles, California, licensed in California (A207059) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and maintains a secondary practice location in West Hollywood.

NPPES Registry Identity

NPI1154070258
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. BOWEN SONGCredential: MD
Location Address127 S SAN VICENTE BLVD # A6600Los Angeles, CA 90048-3311
Mailing Address4140 W 190th StTorrance, CA 90504-5513
Phone(310) 423-6472
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2022
Enumeration DateMarch 23, 2022
Last NPPES UpdateJuly 23, 20263 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1154070258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · A207059
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
127 S SAN VICENTE BLVD # A6600, Los Angeles, CA 90048
Open in Google Maps ↗

Secondary Practice Location 1

Location 18700 Beverly BlvdWest Hollywood, CA 90048-1804 · Phone (310) 423-6472

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bowen Song Md 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 ID2163886037
PECOS Enrollment IDI20230911002327
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240010
Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90048 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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 10

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

MS. RACHELLE BLISS TACHE NP-C
Nurse Practitioner (Family)
127 S SAN VICENTE BLVD # A6600
LOS ANGELES, CA 90048
Los Angeles County (424) 315-2360
ANTHONY BISHAY
Student in an Organized Health Care Education/Training Program
127 S SAN VICENTE BLVD # A6600
LOS ANGELES, CA 90048
Los Angeles County (310) 423-7900
MRS. JANET KIM PA-C
Physician Assistant
127 S SAN VICENTE BLVD # A6600
LOS ANGELES, CA 90048
Los Angeles County (310) 423-7900
ZALDY S TAN M.D.
Internal Medicine (Geriatric Medicine)
127 S SAN VICENTE BLVD # A6600
LOS ANGELES, CA 90048
Los Angeles County (310) 423-6472
CE ZHANG MD, PHD
Student in an Organized Health Care Education/Training Program
127 S SAN VICENTE BLVD # A6600
LOS ANGELES, CA 90048
Los Angeles County (310) 423-6742
BRYAN MAK MMSC, CGC
Genetic Counselor, MS
127 S SAN VICENTE BLVD # A6600
LOS ANGELES, CA 90048
Los Angeles County (626) 224-7733
TARA A JONES MS, LCGC
Genetic Counselor, MS
127 S SAN VICENTE BLVD # A6600
LOS ANGELES, CA 90048
Los Angeles County (424) 315-2361
DR. COLLETTE YEPROUHIE KOKIKIAN MD
Psychiatry & Neurology (Neurology)
127 S SAN VICENTE BLVD # A6600
LOS ANGELES, CA 90048
Los Angeles County (310) 423-6472

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 Bowen Song's NPI number?

The NPI number for Bowen Song is 1154070258. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Bowen Song located?

Bowen Song practices at 127 S San Vicente Blvd # A6600, Los Angeles, CA 90048. The listed phone number is (310) 423-6472.

What is Bowen Song's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Bowen Song enrolled in Medicare?

Yes. Bowen 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.

What insurance does Bowen Song accept?

Health plans from Medica list Bowen Song as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bowen Song affiliated with any hospitals?

According to CMS data, Bowen Song is affiliated with Mayo Clinic Hospital Rochester.

When was this NPI record last updated?

The NPPES record for Bowen Song was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.