Taelor Young

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1158382 Issued in NU

Practice address

6660 Buttonwood Ave
Oak Park, CA 91377-1327

Phone

(818) 251-6210

NPI assigned

Dec 2, 2019

Last updated

Dec 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: taelor.young.1@1492.direct.athenahealth.com

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.

• Izuchukwu Okpara MD Inc

  dba Omni Wound Physicians

  • Surgery Physician
  • Valencia, CA
  • NPI 1679004592
  Medicare reassignment
• Prime Mobile Physicians Network, Inc

  • General Practice Physician
  • Valencia, CA
  • NPI 1679190664
  NPD (past)

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1073150744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6660 BUTTONWOOD AVE",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913771327",
            "telephone_number": "818-251-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 BUTTONWOOD AVE",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913771327",
            "telephone_number": "818-251-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TAELOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": "1158382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Vela
• Maria Cristina Velarde, DMD
• Heidi Georgina Woerner, LMFT
• Yazdan Alami, DDS, a Prof. Corp (Oak Park Dentistry for Children)
• Harold Young, LCSW
• Younique Minds & Voices Pediatric Bilingual Speech Therapy
• Lucia Zablocki
• Dana Mari Zahavi
• Yasmine Zoubeir, DDS

• Physician Assistant in Oak Park, CA
• Providers in Oak Park, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.