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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WILLA J SONG MD
NPI 1720572563
Psychiatry & Neurology - Psychiatry in Culver City, CA

Active since June 15, 2018PECOS Enrolled
6167 BRISTOL PKWY STE 260, CULVER CITY, CA 90230(424) 331-5604 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 13, 2026, Feb 4, 2026, Mar 4, 2025 and 4 more (7 updates tracked since 2018).

About Willa J Song Md NPPES

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

WILLA J SONG MD (NPI 1720572563) is an individual psychiatry provider in Culver City, California, licensed in California (A174957) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1720572563
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameWILLA J SONGCredential: MD
Location Address6167 BRISTOL PKWY STE 260Culver City, CA 90230-6616
Mailing Address3680 Wilshire Blvd, Ste P04-1268Los Angeles, CA 90010 · (608) 515-4383
Phone(424) 331-5604
Sole ProprietorNo
Enumeration DateJune 15, 2018
Last NPPES UpdateOctober 13, 20267 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1720572563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A174957
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
6167 BRISTOL PKWY STE 260, Culver City, CA 90230
Open in Google Maps ↗

Other Names 1

Former Name (1)Fangwen Song

Secondary Practice Locations 6

Location 121545 Centre Pointe PkwySanta Clarita, CA 91350-2947 · Phone (661) 259-9439
Location 23350 E Birch StBrea, CA 92821-6264 · Phone (714) 499-9737
Location 32134 Main St Bldg 3Huntington Beach, CA 92648-2462 · Phone (714) 364-8013
Location 4801 N Park View Dr Ste 100El Segundo, CA 90245-4932 · Phone (310) 349-3758
Location 59810 Scripps Lake Dr Ste AandbSan Diego, CA 92131-1009 · Phone (858) 465-5306
Location 6145 S Fairfax Ave Ste 200Los Angeles, CA 90036-2186 · Phone (424) 331-5604

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willa J Song Md 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 Willa Song reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Comprehensive Psychiatric Services, A Medical Group
341 mi
Psychiatry
3100 OAK ROAD, SUITE 270
Walnut Creek, CA 94597
  • Reassigned Medicare billing, California enrollment
  • 149 clinicians in this Medicare group
NPI 1184785834 (925) 944-9711

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 90230 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
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 2

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

KELLI STAGER
Psychiatry & Neurology (Psychiatry)
6167 BRISTOL PKWY STE 260
CULVER CITY, CA 90230
Los Angeles County (424) 331-5604
DIEM CHAU NGUYEN MD
Psychiatry & Neurology (Psychiatry)
6167 BRISTOL PKWY STE 260
CULVER CITY, CA 90230
Los Angeles County (424) 331-5604

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 Willa Song's NPI number?

The NPI number for Willa Song is 1720572563. It was assigned to this individual provider in the NPPES registry on June 15, 2018. The provider is also known as Fangwen Song.

Where is Willa Song located?

Willa Song practices at 6167 Bristol Pkwy Ste 260, Culver City, CA 90230. The listed phone number is (424) 331-5604.

What is Willa Song's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Willa Song enrolled in Medicare?

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

Which organization bills Medicare for Willa Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Willa Song reassigns Medicare benefits to Comprehensive Psychiatric Services, A Medical Group (Walnut Creek, 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 Willa 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 Willa Song was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.