Grace Jean Young, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G37579 Issued in CA

Practice address

1801 W Romneya Dr
Ste 104
Anaheim, CA 92801-1830

Phone

(714) 817-7878

Fax

(714) 277-4063

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Anaheim Memorial Medical Center

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1295782381
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114015369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8797",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927288797",
            "telephone_number": "714-817-7878",
            "fax_number": "714-277-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W ROMNEYA DR",
            "address_2": "STE 104",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011830",
            "telephone_number": "714-817-7878",
            "fax_number": "714-277-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "GRACE",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G37579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Young Prosthetics Othotics, Inc.
• Young Rae Kim Dental Corp
• Young Rae Kim MD Inc
• Carol Chin Young, PHARM.D.
• Chrisara Marie Young
• Kaila Young
• Linda Kathryn Young, LMFT
• Lucia Sze-Kuen Young, D.O.
• Russell Enrique Young
• Jillian Marie Youngerman, OD

• Internal Medicine Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.