Active NPI
Shawn Youngs, MD
- Family Medicine Physician
- Elk Grove, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C153245
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036109659 | Medicaid | IL | |
| MEDICARE GROUP PTAN | Other | 400480 |
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
- 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
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
- University of California Davis Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C153245 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Regents of the University of California | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Permanente Medical Group Inc | Family Medicine | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952998973
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
Family Medicine
-
- Internal Medicine Physician
- Richmond, CA
- NPI 1235226531
Family Medicine
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Multi-Specialty Clinic/Center
- Elk Grove, CA
- NPI 1083694616
-
- Certified Registered Nurse Anesthetist
- Paris, TX
- NPI 1376541839
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sacramento, CA
- NPI 1215375175
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1710918545
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.