Individual provider Active NPI

Joseph K Song, MD

  • Cardiovascular Disease Physician
  • Buena Park, CA
National Provider Identifier
1851474829
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G69832 Issued in CA
Practice address
7571 Commonwealth Ave
Buena Park, CA 90621
Phone
(714) 539-2600
Fax
(714) 539-2611
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

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

Addresses

Primary practice location

7571 Commonwealth Ave
Buena Park, CA 90621

Mailing address

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

Other practice location 1

16262 E Whittier Blvd
Suite 21
Whittier, CA 90603
Phone (562) 902-7700

Other practice location 2

9535 Garden Grove Blvd Ste 203
Garden Grove, CA 92844-1552
Phone (714) 539-2600

Other identifiers 1

IdentifierTypeStateIssuer
00G698320MedicaidCA

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
I20080122000797 CA Practitioner - Cardiovascular Disease (Cardiology) 0749361293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Missouri, Columbia School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grant County Public Hospital District 1Group PAC ID 9931095692, shared by 3 NPIs, 112 clinicians

Practice addresses (Care Compare)

1550 S Pioneer Way
Suite 115
Moses Lake, WA 98837-4618

7571 Commonwealth Ave
Buena Park, CA 90621-2315
Phone (562) 902-7700

Hospital & facility affiliations

  • Ahmc Anaheim Regional Medical Center Hospital, Anaheim, CA, CCN 050226
  • Uci Health-Lakewood Hospital, Lakewood, CA, CCN 050581

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G69832CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph K Song MD Inc Cardiovascular Disease CurrentSince Jan 1, 1995 Accepting new patients
St Jude Hospital Inc Past Accepting new patients
University of California Irvine Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients

Locations

7571 Commonwealth Ave
Buena Park, CA 90621
Phone (562) 902-7700

11480 Brookshire Ave
Ste 302
Downey, CA 90241
Phone (562) 862-0804

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1851474829",
    "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": "90621",
            "telephone_number": "714-539-2600",
            "fax_number": "714-539-2611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16262 E Whittier Blvd",
            "address_2": "Suite 21",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "90603",
            "country_code": "US",
            "telephone_number": "562-902-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9535 Garden Grove Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928441552",
            "country_code": "US",
            "telephone_number": "714-539-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONG",
        "first_name": "JOSEPH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "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

Verify at the official NPI Registry.