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JESSICA SONG
NPI 1669245247
Nurse Practitioner - Family in Los Angeles, CA

Active since November 06, 2023PECOS Enrolled
3727 W 6TH ST STE 200, LOS ANGELES, CA 90020(213) 235-2500 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica Song NPPES

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

JESSICA SONG (NPI 1669245247) is an individual family provider in Los Angeles, California, licensed in California (95024014) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669245247
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA SONG
Location Address3727 W 6TH ST STE 200Los Angeles, CA 90020-5108
Mailing Address1745 Holly Dr Apt 106Glendale, CA 91206-4142
Phone(213) 235-2500
Sole ProprietorYes
Enumeration DateNovember 6, 2023
NPPES CertifiedNovember 4, 2023
✔ NPI 1669245247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95024014
3727 W 6TH ST STE 200, Los Angeles, CA 90020
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Song 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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Song reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Korean Health Education Information And Research Center
Same address
Primary Care
3727 W 6TH ST STE 200
Los Angeles, CA 90020
  • Reassigned Medicare billing, California enrollment
  • 24 clinicians in this Medicare group
NPI 1437377454 (213) 235-2500

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 90020 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 10

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

DR. IDA TUWATANANURAK D.O.
Family Medicine
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020
Los Angeles County (213) 235-2500
ELENI ELIZA UZUNYAN MD
Student in an Organized Health Care Education/Training Program
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020
Los Angeles County (213) 235-2500
KOREAN HEALTH EDUCATION INFORMATION AND RESEARCH CENTER
Clinic/Center (Primary Care)
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020
Los Angeles County (213) 235-2500
MRS. ETHEL IHEDINANWA EMENOGU NP
Nurse Practitioner (Family)
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020
Los Angeles County (213) 427-4000
DR. KEVIN RIUTZEL MS, DO
Family Medicine
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020
Los Angeles County (213) 235-2500
MS. YESENIA CHARLENE GONZALEZ PA-C
Physician Assistant
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020
Los Angeles County (213) 235-2500
ALEXANDER LUIS INTERIANO MSN, APRN, NP
Nurse Practitioner
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020
Los Angeles County (213) 235-2500
KATE KYUNGEUN HAN NP
Nurse Practitioner (Family)
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020
Los Angeles County (213) 235-2801

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 Jessica Song's NPI number?

The NPI number for Jessica Song is 1669245247. It was assigned to this individual provider in the NPPES registry on November 6, 2023.

Where is Jessica Song located?

Jessica Song practices at 3727 W 6th St Ste 200, Los Angeles, CA 90020. The listed phone number is (213) 235-2500.

What is Jessica Song's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jessica Song enrolled in Medicare?

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

Which organization bills Medicare for Jessica Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Song reassigns Medicare benefits to Korean Health Education Information And Research Center (Los Angeles, CA). The 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 Jessica 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 Jessica Song was last updated on November 6, 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.