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CHAEWON SONG, MD, INC
NPI 1265502017
Internal Medicine - Geriatric Medicine in Garden Grove, CA

Active since November 09, 2006
12665 GARDEN GROVE BLVD, SUITE 503, GARDEN GROVE, CA 92843(714) 534-6516(714) 530-0582 Get Directions Write a Review

NPPES record last updated: November 7, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chaewon Song, Md, Inc NPPES

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

CHAEWON SONG, MD, INC (NPI 1265502017) is a healthcare organization registered as a geriatric medicine in Garden Grove, California and active in the NPI registry since November 2006. The organization lists Chaewon Song, M.d., as its authorized official.

NPPES Registry Identity

NPI1265502017
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameCHAEWON SONG, MD, INC
Location Address12665 GARDEN GROVE BLVD, SUITE 503Garden Grove, CA 92843-1901
Mailing Address12665 Garden Grove Blvd, Suite 503Garden Grove, CA 92843-1901 · (714) 534-6516 · Fax (714) 530-0582
Phone(714) 534-6516
Fax(714) 530-0582
Organization SubpartNo
Authorized OfficialChaewon SongM.d. · (714) 534-6516
Enumeration DateNovember 9, 2006
Last NPPES UpdateNovember 7, 2013
✔ NPI 1265502017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in CA · C52295
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
12665 GARDEN GROVE BLVD, Garden Grove, CA 92843
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINH51490CT
Medicare PINW20282CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chaewon Song, Md, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Chaewon Song, MD, Inc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Shieun Hong
Nurse Practitioner
NPI 1922467299
12665 GARDEN GROVE BLVD #503
Garden Grove, CA 92843
(714) 530-3740
✔ PECOS✔ Accepts Medicare0.1 mi
Hong Kim, M.D.
Internal Medicine
NPI 1396727764
12665 GARDEN GROVE BLVD SUITE 503
Garden Grove, CA 92843
(714) 530-3740
✔ PECOS✔ Accepts Medicare0.1 mi
Chaewon Song, MD
Internal Medicine
NPI 1972589687
12665 GARDEN GROVE BLVD SUITE 503
Garden Grove, CA 92843
(714) 530-3740
✔ PECOS✔ Accepts Medicare0.1 mi

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

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 Chaewon Song, MD, Inc's NPI number?

The NPI number for Chaewon Song, MD, Inc is 1265502017. It was assigned to this organization in the NPPES registry on November 9, 2006.

Where is Chaewon Song, MD, Inc located?

Chaewon Song, MD, Inc is located at 12665 Garden Grove Blvd Suite 503, Garden Grove, CA 92843. The listed phone number is (714) 534-6516.

What is Chaewon Song, MD, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Chaewon Song, MD, Inc enrolled in Medicare?

Yes. Chaewon Song, MD, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chaewon Song, MD, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Chaewon Song, MD, Inc, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Chaewon Song, MD, Inc was last updated on November 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.