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

Yonghyeok Song

Individual provider Certified Registered Nurse Anesthetist · NPI 1588435432

Yonghyeok Song is a Certified Registered Nurse Anesthetist (CRNA) in Fresno, California. Qualified in 2025, 1 year ago. Practices with Northeastern Anesthesia PLLC, a 83-clinician group and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
1
Licensed in
AZ, CA
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

1161 E Shepherd Ave Apt 104
Fresno, CA 93720-1913
Phone: (917) 583-4662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 302859 (AZ)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 95002837 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95357559 (CA)

Record details

NPI number1588435432
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 10, 2024
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Northeastern Anesthesia Pllc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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