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Physician Assistant

Ji Soo Song, PA

Sees patients in Santa Ana, CA · Thousand Oaks, CA · Huntington Park, CA · California

Summary

Ji Soo Song, PA is a physician assistant at 1211 N Broadway, Santa Ana, CA 92701. Phone: (888) 367-1850. Accepts Medicare assignment. NPI 1619792900. Source: CMS National Downloadable File, updated October 2, 2026.

  • Specialty: Physician assistant
  • Address: 1211 N Broadway, Santa Ana, CA 92701 · Directions (2 more locations)
  • Phone: (888) 367‑1850
  • Medicare: Accepts Medicare assignment
  • Group practice: California Dermatology Institute PC
  • School: graduated 2024
  • Gender (as listed): Male

From official Medicare data

This page shows what Medicare's official clinician data says about Ji Soo Song, joined by NPI number (data updated October 2, 2026). It is not a recommendation or a rating. Call the office or hospital to confirm before you go.

In a medical emergency, call 911.

Quick answers

Does Ji Soo Song accept Medicare assignment?
Yes. Medicare's clinician data says Ji Soo Song accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
What is Ji Soo Song's NPI number?
1619792900. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.

Practice locations

Addresses where Ji Soo Song is enrolled with Medicare (CMS data updated October 2, 2026).

Group practices

Medicare enrollment lists Ji Soo Song as a member of this group (CMS data updated October 2, 2026).

  • California Dermatology Institute PC25 clinicians in the group

Specialties

Find other clinicians: Physician Assistant, California →

Other physician assistants in Santa Ana

Clinicians with the same Medicare primary specialty in Santa Ana, CA — not a recommendation.

All physician assistants in Santa Ana →

Other clinicians in California Dermatology Institute PC

Medicare enrollment lists these clinicians in the same group practice — not a recommendation.

Clinician information

CredentialPA
Graduation year2024
Gender (as listed)Male
Medicare assignmentAccepts (Medicare-approved amount as full payment)
NPI (National Provider Identifier)1619792900
CorrectionsReport an error or suggest an update →

Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.

Sources

  1. National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
  2. NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
  3. Medicare Care Compare — official Medicare tool to look up clinicians