Individual provider Active NPI

Shawn Youngs, MD

  • Family Medicine Physician
  • Elk Grove, CA
National Provider Identifier
1063447944
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C153245 Issued in CA
Practice address
10305 Promenade Pkwy
Elk Grove, CA 95757-9400
Phone
(916) 478-5000
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036109659 IL
Family Medicine Physician 207Q00000X C153245 CA Primary

Addresses

Primary practice location

10305 Promenade Pkwy
Elk Grove, CA 95757-9400

Mailing address

630 E North Ave
Dept of Family Medicine
Carol Stream, IL 60188

Other practice location 1

630 E North Ave
Dept of Family Medicine
Carol Stream, IL 60188
Phone (630) 458-5300

Other practice location 2

1147 E Butterfield Road
Wheaton, IL 60189
Phone (630) 616-7223

Other identifiers 2

IdentifierTypeStateIssuer
036109659MedicaidIL
MEDICARE GROUP PTANOther400480

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180302001779 CA Practitioner - Family Practice 6901893494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of CaliforniaGroup PAC ID 8022922475, 562 clinicians

Practice addresses (Care Compare)

500 University Ave
Suite 220
Sacramento, CA 95825-6525
Phone (916) 734-2011

8110 Laguna Blvd
Elk Grove, CA 95758-8094
Phone (916) 683-3955

Hospital & facility affiliations

  • Prohealth Home Care, Inc Home health agency, Sacramento, CA, CCN 059764
  • University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C153245CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Family Medicine Current Accepting new patients
Regents of the University of California CurrentSince Aug 1, 2024 Accepting new patients
Permanente Medical Group, Inc CurrentSince Jan 20, 2018 Accepting new patients
Regents of the University of California CurrentSince Aug 1, 2024 Accepting new patients
Permanente Medical Group Inc Family Medicine CurrentSince Jan 20, 2018 Accepting new patients
Essent PRMC LP Past Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

8110 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3955

10305 Promenade Pkwy
Elk Grove, CA 95757
Phone (916) 478-5000

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

1800 Harrison St
Fl 7
Oakland, CA 94612

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Interoperability endpoints

  • Direct secure messaging: shawn.youngs.p1@direct.cmcentersinc.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1063447944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 E NORTH AVE",
            "address_2": "DEPT OF FAMILY MEDICINE",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "60188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 PROMENADE PKWY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957579400",
            "telephone_number": "916-478-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 E North Ave",
            "address_2": "Dept of Family Medicine",
            "address_purpose": "LOCATION",
            "city": "Carol Stream",
            "state": "IL",
            "postal_code": "60188",
            "country_code": "US",
            "telephone_number": "630-458-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1147 E Butterfield Road",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "60189",
            "country_code": "US",
            "telephone_number": "630-616-7223",
            "fax_number": "630-616-7224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNGS",
        "first_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036109659",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C153245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036109659",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "400480",
            "identifier": "MEDICARE GROUP PTAN",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.