Ji Soo Song
NPI 1619792900 · Physician Assistant · Santa Ana, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ji Soo Song is a Physician Assistant provider in Santa Ana, CA (NPI 1619792900).
Provider details
- NPI number
- 1619792900
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-11-20
- Last updated
- 2024-11-21
- Certified
- 2024-11-21
Frequently asked questions
- What is Ji Soo Song's NPI number?
- Ji Soo Song's National Provider Identifier (NPI) is 1619792900, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ji Soo Song's specialty?
- Ji Soo Song is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ji Soo Song located?
- Ji Soo Song's practice location on file with NPPES is 1211 N Broadway, Santa Ana, CA 92701-3411.
- What is Ji Soo Song's phone number?
- The practice phone number listed in the NPPES registry for Ji Soo Song is (888) 367-1850.
- Does Ji Soo Song accept Medicare?
- Ji Soo Song is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ji Soo Song's NPI active?
- Yes — Ji Soo Song's NPI (1619792900) is active in the NPPES registry as of the last update on 2024-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.