CHAEWON SONG MD NPI 1972589687

NPI Information

  • NPI: 1972589687
  • Provider Name: CHAEWON SONG, MD
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 05D1063020
  • Address: 12665 GARDEN GROVE BLVD
    SUITE 503
    GARDEN GROVE, CA
    ZIP 92843
  • Phone: (714) 530-3740

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NPI Details

Chaewon Song, MD is a geriatric medicine internal medicine in Garden Grove, CA with 28 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Chaewon Song, MD NPI is 1972589687. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12665 GARDEN GROVE BLVD
SUITE 503
GARDEN GROVE, CA
ZIP 92843-901
Phone: (714) 530-3740
Fax: (714) 530-0582

The NPI 1972589687 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D1063020 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days (HCPCS:99454)
  • Management using the results of remote vital sign monitoring per calendar month, first 20 minutes (HCPCS:99457)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Hemoglobin a1c level (HCPCS:83036)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Urinalysis, manual test (HCPCS:81002)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Nursing facility annual assessment, typically 30 minutes (HCPCS:99318)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Infusion into a vein for hydration, 31-60 minutes (HCPCS:96360)
  • Infusion into a vein for hydration, each additional hour (HCPCS:96361)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

The enumeration date for this NPI number is 12/15/2005 and was last updated on 11/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric MedicineC52295CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001397430MEDICAIDCONNECTICUT
2WC52295AMEDICARE PINCALIFORNIA
3H51490MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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