Active NPI
Kristal Young, M.D.
- Cardiovascular Disease Physician
- Pasadena, CA
National Provider Identifier
1053631960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A142473
- Practice address
- 55 East California Blvd
Thrid Floor
Pasadena, CA 91105-3944 - Phone
- (626) 793-1227
- Fax
- (626) 793-3794
- NPI assigned
- Jun 3, 2010
- Last updated
- May 24, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LP02011 | RI | |
| Cardiovascular Disease Physician | 207RC0000X | A142473 | CA | Primary |
Addresses
Primary practice location
55 East California Blvd
Thrid Floor
Pasadena, CA 91105-3944
Mailing address
55 East California Blvd
Third Floor
Pasadena, CA 91105-3944
Phone (626) 793-1227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A142473 | Other | CA | STATE LICENSE |
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
- Cardiovascular Disease (Cardiology)
- Education
- University of Hawaii John a. Burns School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
55 E California Blvd
FL 3
Pasadena, CA 91105-3944
Phone (626) 793-1227
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.27 of 100
- Quality
- 96.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.85
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP02011 | RI | MD | Internal Medicine Physician |
| A142473 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcadia Outpatient Surgery Center LP | Current | Accepting new patients | |
| Southern California Heart Specialists | Cardiovascular Disease | Current | Accepting new patients |
| Southern California Heart Specialists | Internal Medicine | Past | Accepting new patients |
Locations
301 W Huntington Dr
Ste 500
Arcadia, CA 91007
Phone (626) 294-4880
55 E California Blvd
Fl 3
Pasadena, CA 91105
Phone (626) 793-1227
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- kristalyoung@schs.allscriptsdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Pasadena, CA
- NPI 1821055054
-
- Ambulatory Surgical Clinic/Center
- Arcadia, CA
- NPI 1700842507
-
- Internal Medicine Physician
- Arcadia, CA
- NPI 1225208168
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Keck Hospital of USC
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1013514199
-
dba Huntington Hospital
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
-
- General Acute Care Hospital
- Arcadia, CA
- NPI 1508851288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1053631960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 EAST CALIFORNIA BLVD",
"address_2": "THIRD FLOOR",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053944",
"telephone_number": "626-793-1227",
"fax_number": "626-793-3794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 EAST CALIFORNIA BLVD",
"address_2": "THRID FLOOR",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053944",
"telephone_number": "626-793-1227",
"fax_number": "626-793-3794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "KRISTAL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-03",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "LP02011",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A142473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "A142473",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.