Justin Coleman Young, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A127398 Issued in CA

Practice address

3019 Washington Blvd
Marina del Rey, CA 90292-5548

Phone

(310) 305-1801

NPI assigned

Jun 23, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Anvar Medical Group

  • Urgent Care Clinic/Center
  • Northridge, CA
  • NPI 1831539485

  General Practice

  Medicare reassignment NPD
• Carbon Health Primary Care of California PC

  • Multi-Specialty Clinic/Center
  • Berkeley, CA
  • NPI 1972057990
  Medicare reassignment NPD
• Valley Urgent Care

  • Urgent Care Clinic/Center
  • Northridge, CA
  • NPI 1740347913
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1033370945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 WASHINGTON BLVD",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925548",
            "telephone_number": "310-305-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 WASHINGTON BLVD",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925548",
            "telephone_number": "310-305-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JUSTIN",
        "middle_name": "COLEMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A127398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yeo Family Dental Group, a Professional Corp
• Jamie Lynn Yeo, DDS
• Samantha Yo, OTR/L
• David Yoo, O.D.
• Douye D Youduba-Tantua
• Mary M Yu, ACUPUNCTURIST
• Sauchuen Yu, PT
• Yun MD Inc
• Dennis Yun, MD
• Lizbeth Yvey

• General Practice Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.