DR. CHARLES H SONG M.D.
NPI 1790792869
Pediatrics - Pediatric Allergy/Immunology in Los Angeles, CA

Q: What is Charles Song's NPI number?

The NPI number for Charles Song is 1790792869. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Q: What is Charles Song's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

Q: When was this NPI record last updated?

The NPPES record for Charles Song was last updated on July 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 August 02, 2006PECOS EnrolledAccepts Medicare Assignment

200 MEDICAL PLAZA SUITE 265, LOS ANGELES, CA 90095(310) 825-0867 Get Directions Write a Review

NPPES record last updated: July 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Charles H Song M.d. NPPES

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

DR. CHARLES H SONG M.D. (NPI 1790792869) is an individual pediatric allergy/immunology provider in Los Angeles, California, licensed in California (G23461) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Manhattan Beach, and is a graduate of Northwestern University Feinberg Medical School (1971).

NPPES Registry Identity

NPI1790792869

Entity TypeIndividualMale

Primary Taxonomy2080P0201X

Provider Legal NameDR. CHARLES H SONGCredential: M.D.

Location Address200 MEDICAL PLAZA SUITE 265Los Angeles, CA 90095-6814

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631

Phone(310) 825-0867

Sole ProprietorYes

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1971

Enumeration DateAugust 2, 2006

Last NPPES UpdateJuly 5, 2018

✔ NPI 1790792869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Allergy/ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0201X

License✔ Licensed in CA · G23461

Definition

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

Also ListedSpecialistTaxonomy 174400000X · License G23461 (CA)

200 MEDICAL PLAZA SUITE 265, Los Angeles, CA 90095

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Secondary Practice Location 1

Location 1400 S Sepulveda Blvd, SUITE 220Manhattan Beach, CA 90266-6814 · Phone (310) 374-4481 · Fax (310) 374-4584

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles H Song M.d. 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 ID446214639

PECOS Enrollment IDI20041117000562

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

24 services16 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

21 services11 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

19 services18 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

15 services13 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

15 services15 patients

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

1 supplier12 claims45 services$18.36 avg. paid by Medicare

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222

DME-Medical/Surgical Supplies · category DA000N

2 suppliers19 claims128 services$35.24 avg. paid by Medicare

Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater E0779

DME-Other DME · category DE000N

1 supplier11 claims11 services$12.69 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

LISA NICHOLSON NP

Nurse Practitioner (Neonatal)