Ji Soo Song
Physician Assistant · Santa Ana, CA
Ji Soo Song is a physician assistant with a practice address in Santa Ana, California, and NPI 1619792900, issued on Nov 20, 2024. Check the license with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Ji Soo Song
- Primary taxonomy
- Physician Assistant 363A00000X
- Practice location
- 1211 N Broadway, Santa Ana, CA 92701
- Phone
- (888) 367-1850
- Enumerated
- Nov 20, 2024
- Record last updated
- Nov 21, 2024
- Medicare enrollment
- Enrolled (PECOS I20241217001136); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 14,451 in California → Look up another NPI →
Verify Ji Soo Song in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- California Dermatology Institute PCSanta Ana, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ji Soo Song among 14,451 physician assistant records in California
Ji Soo Song is one of 14,451 physician assistant records with a practice address in California. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 87% of them.
- NPI issued2024 · 87% of these records are older, 7% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 50% of these records are
- Graduated2024 · median 2018 among the 7,214 with a school on file
- Record last updated2024 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
124 physician assistant records list a practice address in Santa Ana
They are 124 of the 8,904 NPPES records with a practice address in Santa Ana, and 14,451 physician assistant records in California.
All 14,451 in California → Every provider in Santa Ana → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Himelda Churchill, PA-CSanta Ana, CA 927011912472747
- Bailey Frisch, PA-CSanta Ana, CA 927011760046742
- Crystal GilSanta Ana, CA 927011255064390
- Rafael HerreraSanta Ana, CA 927011720399843
- Gustavo Loza, PA-CSanta Ana, CA 927011700027703
- Michael Moreno, PA-CSanta Ana, CA 927011912614298
- Fred Mumia, PHYSICIAN ASSISTANTSanta Ana, CA 927011245491067
- Ramona Obeso, PA-CSanta Ana, CA 927011902092596
Common questions
What is Ji Soo Song's NPI number?
Ji Soo Song's National Provider Identifier (NPI) is 1619792900, issued on Nov 20, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Ji Soo Song located?
The NPPES record lists a practice address at 1211 N Broadway, Santa Ana, CA, 92701. Phone: (888) 367-1850. Providers update this record themselves, so call before visiting.
How can I verify Ji Soo Song's license?
Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.