GRACE SONG PNP
NPI 1790521185
Nurse Practitioner - Pediatrics in Los Angeles, CA

Q: What is Grace Song's NPI number?

The NPI number for Grace Song is 1790521185. It was assigned to this individual provider in the NPPES registry on July 4, 2024.

Q: What is Grace Song's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Grace Song was last updated on July 4, 2024. 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.

Active since July 04, 2024PECOS Enrolled

327 N BOYLSTON ST APT 419, LOS ANGELES, CA 90012(732) 939-1646 Get Directions Write a Review

NPPES record last updated: July 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Grace Song Pnp NPPES

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

GRACE SONG PNP (NPI 1790521185) is an individual pediatrics provider in Los Angeles, California, licensed in California (95030060) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790521185

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameGRACE SONGCredential: PNP

Location Address327 N BOYLSTON ST APT 419Los Angeles, CA 90012-4683

Mailing Address327 N Boylston St Apt 419Los Angeles, CA 90012-4683 · (732) 939-1646

Phone(732) 939-1646

Sole ProprietorNo

Enumeration DateJuly 4, 2024

NPPES CertifiedMay 16, 2024

✔ NPI 1790521185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in CA · 95030060

327 N BOYLSTON ST APT 419, Los Angeles, CA 90012

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Song Pnp 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 Grace Song reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tpirc Medical Foundation Inc

18 mi

Pediatric Allergy/Immunology

701 E 28TH ST STE 419
Long Beach, CA 90806

Reassigned Medicare billing, California enrollment
15 clinicians in this Medicare group

NPI 1225611312 (562) 353-5907

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 90012 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.

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 Grace Song's NPI number?

The NPI number for Grace Song is 1790521185. It was assigned to this individual provider in the NPPES registry on July 4, 2024.

Where is Grace Song located?

Grace Song practices at 327 N Boylston St Apt 419, Los Angeles, CA 90012. The listed phone number is (732) 939-1646.

What is Grace Song's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Grace Song enrolled in Medicare?

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

Which organization bills Medicare for Grace Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Song reassigns Medicare benefits to Tpirc Medical Foundation Inc (Long Beach, 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 Grace 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 Grace Song was last updated on July 4, 2024. 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.