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YOUNG EUN SONG
NPI 1700358116
Nurse Practitioner - Adult Health in Orange, CA

Active since December 24, 2018PECOS EnrolledAccepts Medicare Assignment
1120 W LA VETA AVE STE 300, ORANGE, CA 92868(714) 598-1745(714) 941-9539 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Young Eun Song NPPES

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

YOUNG EUN SONG (NPI 1700358116) is an individual adult health provider in Orange, California, licensed in California (95010329) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tustin, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1700358116
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameYOUNG EUN SONG
Location Address1120 W LA VETA AVE STE 300Orange, CA 92868-4246
Mailing Address2101 Crescent OakIrvine, CA 92618-4019
Phone(714) 598-1745
Fax(714) 941-9539
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 24, 2018
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
✔ NPI 1700358116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 95010329
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License NP95010329 (CA)
1120 W LA VETA AVE STE 300, Orange, CA 92868
Open in Google Maps ↗

Secondary Practice Location 1

Location 11431 Warner Ave Ste DTustin, CA 92780-6444 · Phone (714) 258-7116

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

Young Eun 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 ID2567701303
PECOS Enrollment IDI20190222000505
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 Reassignments

3

Medicare enrollment records show Young Eun Song reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spine And Sports Specialities Medical Group
Same address
Orthopaedic Surgery
1120 W. LA VETA AVENUE, SUITE 300
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 13 clinicians in this Medicare group
NPI 1013306174 (714) 598-1745
Dazzle Health P C
4.0 mi
Family Medicine
14642 NEWPORT AVE STE 408
Tustin, CA 92780
  • Reassigned Medicare billing, California enrollment
  • 33 clinicians in this Medicare group
NPI 1578301495 (949) 570-7750
J Young Medical Clinic Inc
11 mi
Pain Management
6131 ORANGETHORPE AVE
Buena Park, CA 90620
  • Reassigned Medicare billing, California enrollment
NPI 1790656734 (949) 409-5376

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 92868 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 19

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

MR. CHRISTIAN EDMOND AWAH MD
Orthopaedic Surgery (Hand Surgery)
1120 W LA VETA AVE STE 300
ORANGE, CA 92868
Orange County (714) 598-1745
NEURON MONITORING PC
Physical Medicine & Rehabilitation (Neuromuscular Medicine)
1120 W LA VETA AVE STE 300
ORANGE, CA 92868
Orange County (714) 598-1745
DWCH HOLDINGS INC
Orthopaedic Surgery (Orthopaedic Trauma)
1120 W LA VETA AVE STE 300
ORANGE, CA 92868
Orange County (714) 598-1745
ANDREW GERMANOVICH DO AN OSTEOPATHIC CORPORATION
Pain Medicine (Interventional Pain Medicine)
1120 W LA VETA AVE STE 300
ORANGE, CA 92868
Orange County (949) 588-2190
PAUL SUN
Physician Assistant
1120 W LA VETA AVE STE 300
ORANGE, CA 92868
Orange County (714) 598-1745
JACOB RUSSELL SUBA
Physician Assistant
1120 W LA VETA AVE STE 300
ORANGE, CA 92868
Orange County (714) 598-1745
BRANDON G LUCAS M.D.
Orthopaedic Surgery
1120 W LA VETA AVE STE 300
ORANGE, CA 92868
Orange County (714) 598-1745
ADRIANA GARCIA
Physician Assistant (Medical)
1120 W LA VETA AVE STE 300
ORANGE, CA 92868
Orange County (714) 409-3852

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 Young Eun Song's NPI number?

The NPI number for Young Eun Song is 1700358116. It was assigned to this individual provider in the NPPES registry on December 24, 2018.

Where is Young Eun Song located?

Young Eun Song practices at 1120 W La Veta Ave Ste 300, Orange, CA 92868. The listed phone number is (714) 598-1745.

What is Young Eun Song's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Young Eun Song enrolled in Medicare?

Yes. Young Eun 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 Young Eun Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Young Eun Song reassigns Medicare benefits to 3 organizations: Spine And Sports Specialities Medical Group (Orange, CA), Dazzle Health P C (Tustin, CA) and J Young Medical Clinic Inc (Buena Park, 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 Young Eun 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 Young Eun Song was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.