Active NPI
Jennifer Hui Young, DC
- Rehabilitation Chiropractor
- Santa Clara, CA
National Provider Identifier
1043528573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 31294
- Practice address
- 2342 Walsh Ave
Santa Clara, CA 95051 - Phone
- (408) 771-8898
- Fax
- (408) 969-0966
- NPI assigned
- Sep 17, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 31294 | CA | Primary |
Addresses
Primary practice location
2342 Walsh Ave
Santa Clara, CA 95051
Mailing address
2342 Walsh Ave
Santa Clara, CA 95051
Phone (408) 771-8898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31294 | Other | CA | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31294 | CA | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334793600000",
"number": "1043528573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2342 WALSH AVE",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "95051",
"telephone_number": "408-771-8898",
"fax_number": "408-969-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2342 WALSH AVE",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "95051",
"telephone_number": "408-771-8898",
"fax_number": "408-969-0966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JENNIFER",
"middle_name": "HUI",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-17",
"last_updated": "2012-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "31294",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC",
"identifier": "31294",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.