Active NPI
Hae Young Aaron Song, MD
- Allergy & Immunology Physician
- Yorba Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- A068359
- Practice address
- 16960 Bastanchury Rd Ste H
Yorba Linda, CA 92886-1711 - Phone
- (714) 777-8845
- Fax
- (714) 777-8856
- NPI assigned
- Aug 18, 2005
- Last updated
- Oct 27, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | A068359 | CA | Primary |
Addresses
Primary practice location
16960 Bastanchury Rd Ste H
Yorba Linda, CA 92886-1711
Mailing address
16960 Bastanchury Rd Ste H
Yorba Linda, CA 92886-1711
Phone (714) 777-8845
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- University of Washington School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
16960 Bastanchury Rd
Suite H
Yorba Linda, CA 92886-1711
Phone (714) 777-8845
18340 Yorba Linda Blvd
Suite 101
Yorba Linda, CA 92886-4041
268 W Hospitality LN
Suite 300
San Bernardino, CA 92408-3234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A068359 | CA | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Allergy Associates of Orange County, Inc. | Current | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients | |
| Allergy Asthma & Respiratory Care Center | Allergy & Immunology | Past | Accepting new patients |
| Children's Hospital of Orange County | Past | Accepting new patients | |
| St Joseph Hospital of Orange | Past | Accepting new patients |
Locations
11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
16960 Bastanchury Rd
Ste H
Yorba Linda, CA 92886
Phone (714) 777-8845
18340 Yorba Linda Blvd
Ste 101
Yorba Linda, CA 92886
Phone (714) 777-8845
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Yorba Linda, CA
- NPI 1902065220
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Cardiovascular Disease Physician
- Loma Linda, CA
- NPI 1265686109
-
- Allergy & Immunology Physician
- Long Beach, CA
- NPI 1497719447
-
dba Rady Children's Hospital Orange County
- Children's Hospital
- Orange, CA
- NPI 1811080526
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
dba Providence St. Joseph Hospital
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1831181569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16960 BASTANCHURY RD STE H",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928861711",
"telephone_number": "714-777-8845",
"fax_number": "714-777-8856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16960 BASTANCHURY RD STE H",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928861711",
"telephone_number": "714-777-8845",
"fax_number": "714-777-8856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "HAE YOUNG",
"middle_name": "AARON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CA",
"license": "A068359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yorba Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.