Active NPI
Michael T Young, DO
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Ukiah, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 20A10769
- Practice address
- 260 Hospital Dr
Suite 102
Ukiah, CA 95482-4568 - Phone
- (707) 463-8028
- Fax
- (707) 462-7382
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | OT011347 | PA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 20A10769 | CA | Primary |
Addresses
Primary practice location
260 Hospital Dr
Suite 102
Ukiah, CA 95482-4568
Mailing address
PO Box 2739
Ukiah, CA 95482-2739
Phone (707) 463-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- College of Osteo Med of the Pacific at Pomona, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ukiah Adventist Hospital
Practice addresses (Care Compare)
15322 Lakeshore Dr
Suite 102
Clearlake, CA 95422-9815
Phone (707) 994-2030
260 Hospital Dr
Ukiah, CA 95482-4568
Hospital & facility affiliations
- Adventist Health Ukiah Valley
- Adventist Health Howard Memorial
- Adventist Health Mendocino Coast
- Adventist Health Clearlake
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.9 of 100
- Quality
- 81.89
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.77 of 100
- Quality
- 81.54
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.98 of 100
- Quality
- 73.31
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT011347 | PA | MD | Physical Medicine & Rehabilitation Physician |
| 20A10769 | CA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Adventist Health Physicians Network | Pain Medicine | Current | Accepting new patients |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Ukiah Adventist Hospital | Past | Accepting new patients |
Locations
15322 Lakeshore Dr
Ste 102
Clearlake, CA 95422
Phone (707) 994-2030
1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695
260 Hospital Dr
Ste 207
Ukiah, CA 95482
Phone (707) 463-7627
260 Hospital Dr
Ste 204
Ukiah, CA 95482
Phone (707) 463-8032
275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900
1050 N State St
Ukiah, CA 95482
Phone (707) 463-7488
260 Hospital Dr
Ste 102
Ukiah, CA 95482
Phone (707) 463-7461
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Hanford, CA
- NPI 1063718583
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Ukiah, CA
- NPI 1053790915
-
- Physical Therapy Clinic/Center
- Paradise, CA
- NPI 1134092190
-
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Clearlake, CA
- NPI 1124018031
-
- Critical Access Hospital
- Fort Bragg, CA
- NPI 1538113725
-
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
-
- Critical Access Hospital
- Willits, CA
- NPI 1356339543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433980800000",
"number": "1023174042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2739",
"city": "UKIAH",
"state": "CA",
"postal_code": "954822739",
"telephone_number": "707-463-8000",
"fax_number": "707-462-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 HOSPITAL DR",
"address_2": "SUITE 102",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824568",
"telephone_number": "707-463-8028",
"fax_number": "707-462-7382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "MICHAEL",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2015-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "OT011347",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "CA",
"license": "20A10769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.