DR. NOKEO SONGVILAY D.O.
NPI 1922015056
Family Medicine in San Diego, CA

Active since August 02, 2006Opted out of Medicare · through Jan 1, 2028
1807 ROBINSON AVE, SUITE 107, SAN DIEGO, CA 92103(619) 692-9331(619) 692-9403 Get Directions Write a Review

NPPES record last updated: March 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nokeo Songvilay D.o. NPPES

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

DR. NOKEO SONGVILAY D.O. (NPI 1922015056) is an individual family medicine provider in San Diego, California, licensed in California (20A6639) and active in the NPI registry since August 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1922015056
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NOKEO SONGVILAYCredential: D.O.
Location Address1807 ROBINSON AVE, SUITE 107San Diego, CA 92103-7633
Mailing Address1807 Robinson Ave, Suite 107San Diego, CA 92103-7633 · (619) 692-9331 · Fax (619) 692-9403
Fax(619) 692-9403
Sole ProprietorYes
Enumeration DateAugust 2, 2006
Last NPPES UpdateMarch 9, 2018
NPI 1922015056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 20A6639
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1807 ROBINSON AVE, San Diego, CA 92103

Other Identifiers 1

Medicaid00AX66390CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Nokeo Songvilay D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers33 claims68 services$4.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers26 claims30 services$0.86 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 7

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

Marriage & Family Therapist
1807 ROBINSON AVE
SAN DIEGO, CA 92103
Psychologist
1807 ROBINSON AVE, SUITE 204
SAN DIEGO, CA 92103
Physical Therapist
1807 ROBINSON AVE, 104
SAN DIEGO, CA 92103
Dentist (General Practice)
1807 ROBINSON AVE
SAN DIEGO, CA 92103
Clinic/Center (Physical Therapy)
1807 ROBINSON AVE, 104
SAN DIEGO, CA 92103
Counselor (Mental Health)
1807 ROBINSON AVE
SAN DIEGO, CA 92103
Marriage & Family Therapist
1807 ROBINSON AVE, 204
SAN DIEGO, CA 92103

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 Nokeo Songvilay's NPI number?

The NPI number for Nokeo Songvilay is 1922015056. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Nokeo Songvilay located?

Nokeo Songvilay practices at 1807 Robinson Ave Suite 107, San Diego, CA 92103. The listed phone number is (619) 692-9331.

What is Nokeo Songvilay's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nokeo Songvilay enrolled in Medicare?

No. Nokeo Songvilay has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Nokeo Songvilay was last updated on March 9, 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.