Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jaeha Song, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1700292877

Dr. Jaeha Song, DPM is a Podiatry in Gilbert, Arizona. Graduated from Temple University School of Medicine in 2012, 14 years ago. Practices with Livi Medical Services LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Arizona, New York and Pennsylvania.

Years since qualifying
14
Trained at
Temple University School of Medicine
Licensed in
AZ, NY, PA
In the registry since
2014
Specialties on file
4
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

3570 S Val Vista Dr Ste 104
Gilbert, AZ 85297-7327
Phone: (480) 900-9343
Fax: (480) 400-9229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence POD-000896 (AZ)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence POD-000896 (AZ)
Podiatrist Taxonomy 213E00000X · Licence SC006500 (PA)
General Acute Care Hospital Taxonomy 282N00000X · Licence 65P97423 (NY)

Record details

NPI number1700292877
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJuly 9, 2014
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Livi Medical Services Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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