Organization Active NPI

Joseph K Song MD Inc

  • Cardiovascular Disease Physician
  • Buena Park, CA
National Provider Identifier
1619155041
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G69832 Issued in CA
Legal business name
JOSEPH K SONG MD INC
Practice address
7571 Commonwealth Ave
Buena Park, CA 90621-2315
Phone
(714) 539-2600
Fax
(714) 539-2611
NPI assigned
Feb 7, 2008
Last updated
Aug 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joseph K Song, MDNPI 1851474829
Title
Owner
Phone
(714) 539-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G69832 CA Primary

Addresses

Primary practice location

7571 Commonwealth Ave
Buena Park, CA 90621-2315

Mailing address

7571 Commonwealth Ave
Buena Park, CA 90621-2315
Phone (714) 539-2600

Other identifiers 1

IdentifierTypeStateIssuer
00G698320MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080520000520 CA Part B Supplier - Clinic/Group Practice 9133298946 Receives reassigned benefits from 1 practitioner
Practice locations: Buena Park, CA; Garden Grove, CA; Whittier, CA

National Provider Directory

National Provider Directory

Locations

7571 Commonwealth Ave
Buena Park, CA 90621
Phone (714) 539-2600

9535 Garden Grove Blvd
Ste 203
Garden Grove, CA 92844
Phone (714) 539-2600

16262 Whittier Blvd
Ste 21
Whittier, CA 90603
Phone (310) 902-7700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1619155041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7571 COMMONWEALTH AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212315",
            "telephone_number": "714-539-2600",
            "fax_number": "714-539-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7571 COMMONWEALTH AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212315",
            "telephone_number": "714-539-2600",
            "fax_number": "714-539-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH K SONG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-539-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G69832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G698320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.