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SONG MEDICAL GROUP INC
NPI 1831900638
Clinic/Center - Medical Specialty in Garden Grove, CA

Active since January 20, 2025
12665 GARDEN GROVE BLVD STE 503, GARDEN GROVE, CA 92843(714) 530-3740 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Song Medical Group Inc NPPES

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

SONG MEDICAL GROUP INC (NPI 1831900638) is a healthcare organization registered as a medical specialty in Garden Grove, California and active in the NPI registry since January 2025. The organization lists Chae Won Song, President /md, as its authorized official.

NPPES Registry Identity

NPI1831900638
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameSONG MEDICAL GROUP INC
Location Address12665 GARDEN GROVE BLVD STE 503Garden Grove, CA 92843-1919
Mailing Address12665 Garden Grove Blvd Ste 503Garden Grove, CA 92843-1919 · (714) 530-3740
Phone(714) 530-3740
Organization SubpartNo
Authorized OfficialChae Won SongPresident /md · (714) 530-3740
Enumeration DateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
✔ NPI 1831900638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
12665 GARDEN GROVE BLVD STE 503, Garden Grove, CA 92843
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Song Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Song Medical Group Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Shieun Hong
Nurse Practitioner
NPI 1922467299
12665 GARDEN GROVE BLVD #503
Garden Grove, CA 92843
(714) 530-3740
✔ PECOS✔ Accepts MedicareSame address
Chaewon Song, MD
Internal Medicine
NPI 1972589687
12665 GARDEN GROVE BLVD SUITE 503
Garden Grove, CA 92843
(714) 530-3740
✔ PECOS✔ Accepts MedicareSame address

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 Song Medical Group Inc's NPI number?

The NPI number for Song Medical Group Inc is 1831900638. It was assigned to this organization in the NPPES registry on January 20, 2025.

Where is Song Medical Group Inc located?

Song Medical Group Inc is located at 12665 Garden Grove Blvd Ste 503, Garden Grove, CA 92843. The listed phone number is (714) 530-3740.

What is Song Medical Group Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Song Medical Group Inc enrolled in Medicare?

Yes. Song Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Song Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Song Medical Group Inc, in Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Song Medical Group Inc was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.