SONG PLASTIC SURGERY, INC.
NPI 1730445313
Surgery - Plastic and Reconstructive Surgery in Irvine, CA

NPI Status: Active since April 08, 2012

Contact Information

4968 BOOTH CIR
SUITE 105
IRVINE, CA
ZIP 92604
Phone: (949) 701-4454
Fax: (949) 701-4878

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  • Organization
  • Surgery
  • Plastic and Reconstructive Surgery

About SONG PLASTIC SURGERY, INC.

This page provides the complete NPI Profile along with additional information for Song Plastic Surgery, Inc., a provider established in Irvine, California operating as a Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1730445313 assigned on April 2012. The practitioner's primary taxonomy code is 2086S0122X with license number A102406 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Kyle Robert Song M.d. (Owner / Principal)

NPI
1730445313
Provider Name
SONG PLASTIC SURGERY, INC.
Entity Type
Organization
Location Address
4968 BOOTH CIR SUITE 105 IRVINE, CA 92604
Location Phone
(949) 701-4454
Location Fax
(949) 701-4878
Mailing Address
4968 BOOTH CIR SUITE 105 IRVINE, CA 92604
Mailing Phone
(949) 701-4454
Mailing Fax
(949) 701-4878
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-08-2012
Last Update Date
04-08-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Plastic and Reconstructive Surgery

Taxonomy Code
2086S0122X
Type
Allopathic & Osteopathic Physicians
License No.
A102406
License State
CA
Taxonomy Description
A surgeon who specializes in plastic and reconstructive surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KYLE ROBERT SONG M.D.

Authorized Official Title
OWNER / PRINCIPAL
Authorized Official Phone
(949) 701-4454

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CK861TOTHER (01)CAMEDICARE PTAN
GA903AOTHER (01)MEDICARE PTAN

Reviews for SONG PLASTIC SURGERY, INC.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1730445313
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2760841032
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 8 + 4 + 1 + 0 + 3 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1730445313 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1821121328FELICE L. GERSH, M.D., INC.
Organization
Clinic/Center (Multi-Specialty)4968 BOOTH CIR 101
IRVINE, CA 92604
(949) 753-7475
1366620007DR. KYLE ROBERT SONG MD
Individual
Plastic Surgery4968 BOOTH CIR SUITE 105
IRVINE, CA 92604
(949) 701-4454
1982082020ORANGE COUNTY PLASTIC SURGERY CENTER, LLC
Organization
Clinic/Center (Ambulatory Surgical)4968 BOOTH CIR SUITE 103
IRVINE, CA 92604
(949) 701-4454
1477004919 ARIANA POULAKOS N.D.
Individual
Naturopath4968 BOOTH CIR SUITE 101
IRVINE, CA 92604
(949) 753-7475
1578829024DR. MINDY MICHELE FINFROCK M.D.
Individual
Pediatrics4968 BOOTH CIR
IRVINE, CA 92604
(949) 387-4900
1922206135 JIYEON KIM M.D.
Individual
Pediatrics4968 BOOTH CIR SUITE 106
IRVINE, CA 92604
(949) 387-4900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730445313, enumerated in the NPI registry as an "organization" on April 08, 2012

The provider is located at 4968 Booth Cir Suite 105 Irvine, Ca 92604 and the phone number is (949) 701-4454

This medical organization specializes in Surgery with taxonomy code 2086S0122X with a focus in Plastic and Reconstructive Surgery

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 08, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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