JONATHAN CHENG SONG MD
NPI 1508957564
Ophthalmology in Los Angeles, CA
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
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Jonathan Song reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 2,445 clinicians in this Medicare group
Los Angeles, CA 90041
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
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.
Which organizations bill Medicare for Jonathan Song's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Song reassigns Medicare benefits to 2 organizations: Usc Care Medical Group, Inc (Los Angeles, CA) and Southern California Permanente Medical Group (Los Angeles, CA). Each 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 Jonathan Song's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jonathan Song was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jonathan Cheng Song, MD · NPI 1508957564
Ophthalmology physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since September 27, 2006.
## Identity
- **NPI:** 1508957564 (Entity type: Individual)
- **Enumerated:** September 27, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** G79733 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1450 SAN PABLO ST, Los Angeles, CA 90033-5331
- **Phone:** (323) 442-6335
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Usc Care Medical Group, Inc (NPI 1902846306, Los Angeles, CA); Southern California Permanente Medical Group (NPI 1013409044, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Francisco School Of Medicine, class of 1993
## Record status
- **NPPES last updated:** December 1, 2021
- **Other identifiers:** Medicaid 00G797330 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1508957564) · Data from the CMS NPPES public registry.