Your Family Care Center LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

12332R Issued in LA

Legal business name

YOUR FAMILY CARE CENTER LLC

Practice address

2412 Palmland Blvd
New Iberia, LA 70563-2913

Phone

(337) 519-4740

NPI assigned

Jun 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Edison L Ong, MD

Title

Owner

Phone

(337) 276-5408

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1063649143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BAYSIDE RD",
            "city": "JEANERETTE",
            "state": "LA",
            "postal_code": "705445801",
            "telephone_number": "337-276-5408",
            "fax_number": "337-276-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 PALMLAND BLVD",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632913",
            "telephone_number": "337-519-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR FAMILY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "ONG",
        "authorized_official_first_name": "EDISON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-276-5408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "12332R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1530301",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "12332R",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1598794406",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Youman
• Marissa Young, MA CCC-SLP
• Roy Young
• Tracy P Young, CRNA
• Youngs Professional Services LLC
• Yps Healthcare LLC
• Millie R Zimmer, CCC-SLP

• Primary Care Clinic/Center in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.