J YOUNG MEDICAL CLINIC INC
NPI 1790656734
Registered Nurse - Pain Management in Buena Park, CA
About J Young Medical Clinic Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
J YOUNG MEDICAL CLINIC INC (NPI 1790656734) is a healthcare organization registered as a pain management in Buena Park, California and active in the NPI registry since September 2025. The organization lists Young Eun Song, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
J Young Medical Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to J Young Medical Clinic Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 J Young Medical Clinic Inc's NPI number?
The NPI number for J Young Medical Clinic Inc is 1790656734. It was assigned to this organization in the NPPES registry on September 15, 2025.
Where is J Young Medical Clinic Inc located?
J Young Medical Clinic Inc is located at 6131 Orangethorpe Ave, Buena Park, CA 90620. The listed phone number is (949) 409-5376.
What is J Young Medical Clinic Inc's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Pain Management, with taxonomy code 163WP0000X.
Is J Young Medical Clinic Inc enrolled in Medicare?
Yes. J Young Medical Clinic Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through J Young Medical Clinic Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to J Young Medical Clinic Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for J Young Medical Clinic Inc was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# J Young Medical Clinic Inc · NPI 1790656734
Pain Management organization in Buena Park, California. Organization record, active in the CMS NPPES registry since September 15, 2025.
## Identity
- **NPI:** 1790656734 (Entity type: Organization)
- **Enumerated:** September 15, 2025
- **Primary specialty:** Registered Nurse - Pain Management · taxonomy 163WP0000X
- **Organization subpart:** No
- **Authorized official:** Young Eun Song, PROVIDER
## Practice location
- **Address:** 6131 ORANGETHORPE AVE, Buena Park, CA 90620-1315
- **Phone:** (949) 409-5376
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 15, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1790656734) · Data from the CMS NPPES public registry.