Individual provider Active NPI

Hae Young Aaron Song, MD

  • Allergy & Immunology Physician
  • Yorba Linda, CA
National Provider Identifier
1831181569
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A068359 Issued in CA
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050908000319 CA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 2769414994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
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

LicenseStateTypeSpecialty
A068359CAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jan 1, 2016 Accepting new patients
Allergy Associates of Orange County, Inc. CurrentSince Jun 1, 2008 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.

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

Verify at the official NPI Registry.