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Justin Seungbae Song

NPI 1346717675ActiveIndividual· Physician Assistant· Compton, CA

Physician Assistant with Southern California Permanente Medical Group, practicing in Compton, California. Their prescriptions cost Medicare Part D more than their services did: $14,108 for 718 claims, against $955.41 paid for services in 2024.

Overview

NPI1346717675
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedOct 24, 2018
Last updated in NPPESOct 27, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X56155CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (CA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients15
Services billed18 across 5 procedure codes
Paid by Medicare$955.41

Part D prescriptions in 2024

Prescriptions (claims)718 · 758 30-day fills
Patients470
Total drug cost$14,108
Generic share89% of claims

Medicare sources and data years

Education and affiliations

Graduation year2018
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Compton

All physician assistants in California