DEBORAH SONG CPNP
NPI 1184095911
Nurse Practitioner - Pediatrics in Los Angeles, CA

Active since October 20, 2015PECOS Enrolled
808 W 58TH ST, LOS ANGELES, CA 90037(323) 541-1600 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2017, Mar 1, 2016, Nov 9, 2015 (3 updates tracked since 2015).

About Deborah Song Cpnp NPPES

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

DEBORAH SONG CPNP (NPI 1184095911) is an individual pediatrics provider in Los Angeles, California, licensed in California (95003112) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184095911
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDEBORAH SONGCredential: CPNP
Location Address808 W 58TH STLos Angeles, CA 90037-3632
Mailing Address15811 Rosalita DrLa Mirada, CA 90638-4133 · (626) 758-2920
Sole ProprietorNo
Enumeration DateOctober 20, 2015
Last NPPES UpdateMarch 13, 20173 updates tracked since enumeration
NPI 1184095911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in CA · 95003112
808 W 58TH ST, Los Angeles, CA 90037

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Deborah Song Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90037 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 20

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

Nurse Practitioner (Women's Health)
808 W 58TH ST
LOS ANGELES, CA 90037
Nurse Practitioner (Family)
808 W 58TH ST
LOS ANGELES, CA 90037
Nurse Practitioner (Family)
808 W 58TH ST
LOS ANGELES, CA 90037
Dentist (Orofacial Pain)
808 W 58TH ST
LOS ANGELES, CA 90037
Internal Medicine (Infectious Disease)
808 W 58TH ST
LOS ANGELES, CA 90037
Pediatrics
808 W 58TH ST
LOS ANGELES, CA 90037
Nurse Practitioner (Family)
808 W 58TH ST
LOS ANGELES, CA 90037
Dentist (Pediatric Dentistry)
808 W 58TH ST
LOS ANGELES, CA 90037

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 Deborah Song's NPI number?

The NPI number for Deborah Song is 1184095911. It was assigned to this individual provider in the NPPES registry on October 20, 2015.

Where is Deborah Song located?

Deborah Song practices at 808 W 58th St, Los Angeles, CA 90037. The listed phone number is (323) 541-1600.

What is Deborah Song's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Deborah Song enrolled in Medicare?

Yes. Deborah Song is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deborah Song was last updated on March 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.