JONATHAN CHENG SONG MD
NPI 1508957564
Ophthalmology in Los Angeles, CA

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
1450 SAN PABLO ST, LOS ANGELES, CA 90033(323) 442-6335 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jonathan Cheng Song Md NPPES

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

JONATHAN CHENG SONG MD (NPI 1508957564) is an individual ophthalmology provider in Los Angeles, California, licensed in California (G79733) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1993).

NPPES Registry Identity

NPI1508957564
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJONATHAN CHENG SONGCredential: MD
Location Address1450 SAN PABLO STLos Angeles, CA 90033-5331
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-6335
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1993
Enumeration DateSeptember 27, 2006
Last NPPES UpdateDecember 1, 2021
NPI 1508957564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · G79733
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1450 SAN PABLO ST, Los Angeles, CA 90033

Other Identifiers 1

Medicaid00G797330CA

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

Jonathan Cheng 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 ID2365595337
PECOS Enrollment IDI20090810000143
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 90033 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
$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 20

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

Student in an Organized Health Care Education/Training Program
1450 SAN PABLO ST
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1450 SAN PABLO ST
LOS ANGELES, CA 90033
Surgery (Surgical Oncology)
1450 SAN PABLO ST, SUITE 6200
LOS ANGELES, CA 90033
Ophthalmology
1450 SAN PABLO ST, SUITE 4000
LOS ANGELES, CA 90033
Ophthalmology
1450 SAN PABLO ST, SUITE 4000
LOS ANGELES, CA 90033
Ophthalmology
1450 SAN PABLO ST, AUITE 4000
LOS ANGELES, CA 90033
Ophthalmology
1450 SAN PABLO ST, SUITE #4000
LOS ANGELES, CA 90033
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
1450 SAN PABLO ST
LOS ANGELES, CA 90033

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 Jonathan Song's NPI number?

The NPI number for Jonathan Song is 1508957564. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Jonathan Song located?

Jonathan Song practices at 1450 San Pablo St, Los Angeles, CA 90033. The listed phone number is (323) 442-6335.

What is Jonathan Song's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jonathan Song enrolled in Medicare?

Yes. Jonathan 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.

When was this NPI record last updated?

The NPPES record for Jonathan Song was last updated on December 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.