Yonghyeok Song
NPI 1588435432ActiveIndividual· Nurse Anesthetist, Certified Registered· Fresno, CA
Nurse Anesthetist, Certified Registered with Northeastern Anesthesia PLLC, practicing in Fresno, California. Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna). Lists Havasu Regional Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1588435432 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jan 10, 2024 |
| Last updated in NPPES | Mar 24, 2026 |
| Certified by provider | Mar 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 302859 | AZ |
| Nurse Anesthetist, Certified Registered | 367500000X | 95002837 | CA |
| Registered Nurse | 163W00000X | 95357559 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (AZ) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Northeastern Anesthesia PLLCShow Low, AZ · 81 clinicians
Hospital affiliations
- Havasu Regional Medical CenterLake Havasu City, AZ
- Kingman Regional Medical CenterKingman, AZ
- Western Arizona Regional Medical CenterBullhead City, AZ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 130 nurse anesthetists in Fresno · All nurse anesthetists in California