YEONSU SONG RN, FNP-C
NPI 1881086866
Nurse Practitioner - Family in San Jose, CA

Q: What is Yeonsu Song's NPI number?

The NPI number for Yeonsu Song is 1881086866. It was assigned to this individual provider in the NPPES registry on February 27, 2015.

Q: What is Yeonsu Song's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Yeonsu Song was last updated on February 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 February 27, 2015

5690 CONISTON WAY, SAN JOSE, CA 95118(415) 318-9173 Get Directions Write a Review

NPPES record last updated: February 5, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Yeonsu Song Rn, Fnp-c NPPES

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

YEONSU SONG RN, FNP-C (NPI 1881086866) is an individual family provider in San Jose, California, licensed in California (95000459) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1881086866

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameYEONSU SONGCredential: RN, FNP-C

Location Address5690 CONISTON WAYSan Jose, CA 95118-3517

Mailing Address5690 Coniston WaySan Jose, CA 95118-3517

Phone(415) 318-9173

Sole ProprietorNo

Enumeration DateFebruary 27, 2015

Last NPPES UpdateFebruary 5, 2017

✔ NPI 1881086866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95000459

Also ListedRegistered NurseTaxonomy 163W00000X · License 653587 (CA)

5690 CONISTON WAY, San Jose, CA 95118

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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 Yeonsu Song's NPI number?

The NPI number for Yeonsu Song is 1881086866. It was assigned to this individual provider in the NPPES registry on February 27, 2015.

Where is Yeonsu Song located?

Yeonsu Song practices at 5690 Coniston Way, San Jose, CA 95118. The listed phone number is (415) 318-9173.

What is Yeonsu Song's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Yeonsu Song was last updated on February 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.