Individual provider Active NPI

Ana Heejae Song, DMD

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1639925316
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
111858 Issued in CA
Practice address
1800 Market St Ste 401
San Francisco, CA 94102-6227
Phone
(415) 292-3400
NPI assigned
Apr 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 111858 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1800 Market St Ste 401
San Francisco, CA 94102-6227

Mailing address

101 Polk St Unit 502
San Francisco, CA 94102-4755
Phone (551) 999-1577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251117000431 CA Order and Referring Only - DentistPractitioner - Dentist 5698266898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111858CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Asian and Pacific Islander Wellness Center, Inc. PastSince Oct 5, 2025 Accepting new patients
Asian and Pacific Islander Wellness Center, Inc. PastSince Oct 5, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1639925316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 POLK ST UNIT 502",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024755",
            "telephone_number": "551-999-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MARKET ST STE 401",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941026227",
            "telephone_number": "415-292-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "ANA",
        "middle_name": "HEEJAE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "111858",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.