JUSTIN SEUNGBAE SONG
NPI 1346717675
Physician Assistant in Compton, CA

Q: What is Justin Song's NPI number?

The NPI number for Justin Song is 1346717675. It was assigned to this individual provider in the NPPES registry on October 24, 2018.

Q: What is Justin Song's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Song was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 24, 2018PECOS EnrolledAccepts Medicare Assignment

2499 S WILMINGTON AVE, COMPTON, CA 90220(310) 638-1113 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 27, 2023, Oct 24, 2018 (2 updates tracked since 2018).

On this page

About Justin Seungbae Song NPPES

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

JUSTIN SEUNGBAE SONG (NPI 1346717675) is an individual physician assistant in Compton, California, licensed in California (56155) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1346717675

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJUSTIN SEUNGBAE SONG

Location Address2499 S WILMINGTON AVECompton, CA 90220-5434

Mailing Address6717 Kings Harbor DrRancho Palos Verdes, CA 90275-4619 · (310) 991-9859

Phone(310) 638-1113

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 24, 2018

Last NPPES UpdateOctober 27, 20232 updates tracked since enumeration

✔ NPI 1346717675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · 56155

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2499 S WILMINGTON AVE, Compton, CA 90220

Open in Google Maps ↗

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

Justin Seungbae Song 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 ID1355683236

PECOS Enrollment IDI20190424001437

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90220 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

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

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 11

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

U.S. HEALTHWORKS MEDICAL GROUP, PC

Clinic/Center (Urgent Care)