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ANDREW S SONG
NPI 1730860388
Physician Assistant in Los Angeles, CA

Active since July 27, 2023PECOS Enrolled
3561 SAN MARINO ST, LOS ANGELES, CA 90019(213) 440-2865 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew S Song NPPES

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

ANDREW S SONG (NPI 1730860388) is an individual physician assistant in Los Angeles, California, licensed in California (PA63096) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730860388
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANDREW S SONG
Location Address3561 SAN MARINO STLos Angeles, CA 90019-2324
Mailing Address3561 San Marino StLos Angeles, CA 90019-2324 · (213) 440-2865
Phone(213) 440-2865
Sole ProprietorNo
Enumeration DateJuly 27, 2023
NPPES CertifiedJuly 26, 2023
✔ NPI 1730860388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA63096
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3561 SAN MARINO ST, Los Angeles, CA 90019
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew S 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90019 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
$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.

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 Andrew Song's NPI number?

The NPI number for Andrew Song is 1730860388. It was assigned to this individual provider in the NPPES registry on July 27, 2023.

Where is Andrew Song located?

Andrew Song practices at 3561 San Marino St, Los Angeles, CA 90019. The listed phone number is (213) 440-2865.

What is Andrew Song's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Andrew Song enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Andrew Song was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.